ORCA House (Signature Health) – Cleveland, Ohio
ORCA House is a 36-bed residential treatment facility in Cleveland, Ohio, operated by Signature Health, a federally qualified health center serving Northeast Ohio for more than 30 years. Founded in 1942, ORCA House is one of the oldest African American-founded substance use disorder treatment centers in the country. The facility combines a 20-bed substance use disorder unit with a 16-bed mental health step-down/step-up unit. It serves adults 18 and older with opioid use disorder, alcohol use disorder, and serious mental illness.
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Facility photo
About ORCA House (Signature Health)
The substance use floor at ORCA House centers on medication-assisted treatment paired with intensive group therapy. There’s also around-the-clock nursing and residential care specialists supporting residents through withdrawal and early recovery. The unit is also equipped to admit residents recovering from endocarditis, a serious heart valve infection associated with IV drug use.
The mental health floor operates separately. It provides step-down care for adults discharged from psychiatric hospitalization and step-up care for those who need more structure than outpatient treatment provides. Both units share access to primary care, psychiatric services, and infectious disease treatment. The current facility is a fully renovated 24,000-square-foot space that reopened in 2024 after the original building closed during the pandemic.
ORCA House was featured on AddictionResource.net’s list of the best rehab centers in Cleveland.
What Makes ORCA House Different?
Few residential programs in the country carry ORCA House’s history. It was founded more than 80 years ago by people in recovery themselves, it predates the modern addiction treatment field by decades, and has remained rooted in serving Cleveland’s Black community. The endocarditis admission pathway is also a genuine medical specialization. It addresses a population whose addiction-related health needs often go beyond what standard residential programs are equipped to manage. Additionally, since ORCA House sits within Signature Health’s broader federally qualified health network, residents can access primary care and infectious disease treatment.
Trust Features
- CARF
Levels of Care
- Inpatient/Residential
- Medication-Assisted Treatment (MAT)
Treatment Offerings
- Cognitive Behavioral Therapy (CBT)
- Individual Therapy
- Group Therapy
- Motivational Interviewing
- Trauma Therapy
- Recreation Therapy
- Case Management Services
Payment Options/Accepted Insurance
- Medicaid/Medicare
Always verify your specific coverage and confirm directly with the facility. Plans and acceptance may change.
Get Answers About ORCA House (Signature Health)
ORCA House serves adults 18 and older with opioid use disorder, alcohol use disorder, or serious mental illness, including those who need specialized care after a hospitalization for endocarditis related to IV drug use.
ORCA House provides residential substance use treatment, residential mental health step-down/step-up care, and medication-assisted treatment, with referral to outpatient services after discharge.
ORCA House was founded in 1942, making it one of the oldest African American-founded substance use disorder treatment centers in the United States. It became part of Signature Health in 2018.
Patients consistently describe the staff at ORCA House as caring and willing to go beyond what’s expected, with several crediting the program for giving them the tools to succeed after leaving. Family members of residents have also described positive experiences. ORCA House has a 4.6-star rating on Google, as of June 2026.
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