NWVCIL Logo
Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Find Effective Alcohol Rehab Centers Near You

Alcohol use disorder affects millions of Americans every year. Our comprehensive directory connects you with quality alcohol rehabilitation centers offering medical detox, evidence-based therapy, and long-term recovery support tailored to your needs.

Found 5,929 rehab centers specializing in alcohol addiction across the United States.

Need Help Finding the Right Treatment Center?

Speak with a compassionate specialist now - 100% free & confidential

Call +1 (833) 244-3031
Available 24/7
All 50 States

Find Alcohol Rehab Centers Near You

Browse our directory of alcohol rehab centers below. Use filters to narrow by state, insurance, treatment type, and level of care.

Filters:

Showing 20 of 5929 results

Opiate Treatment Program

Situated in Portland, OR, the Opiate Treatment Program delivers extensive substance abuse treatment tailored for both adults and young adults facing concurrent mental health issues. This center offers outpatient services for methadone/buprenorphine or naltrexone therapy, employing proven methodologies including cognitive behavioral therapy, motivational interviewing, and strategies for relapse prevention. It features specialized programs aimed at veterans and those with dual diagnoses. By prioritizing personalized care, this facility invites both men and women who are looking for exceptional rehabilitation support on their path to sustainable recovery.

Opus Health LLC
Costa Mesa, CA

Opus Health LLC, located in Costa Mesa, CA, provides extensive addiction recovery services in a compassionate atmosphere. This center offers long-term residency options, detox programs, and round-the-clock support for those aiming to conquer substance use issues. Emphasizing approaches such as 12-step support, anger management, and short-term interventions, they customize treatment strategies to fit each person's unique requirements. Opus Health LLC features specialized services for both adult men and women, accommodating individuals of all ages. Dedicated to delivering high-quality care, this center creates a secure and encouraging environment for healing and recovery.

Opus Health LLC
Costa Mesa, CA

Opus Health LLC, located in Costa Mesa, CA, delivers thorough care for addiction. Their services include extended stays in a residential setting, detox services on-site, and constant support for adults and young adults. The center focuses on methods like 12-step support, managing anger, and quick intervention to tackle substance abuse issues. They offer specific treatment plans designed for adult men and women, ensuring care is adjusted to the individual based on their gender and age. Clients will find excellent, proven treatments within a nurturing atmosphere that promotes healing. For individuals searching for effective, specialized help with addiction, this center is notable for its commitment to customized treatment and a wide array of services.

Orchard on the Brazos Recovery

Situated in Wallis, TX, Orchard on the Brazos Recovery delivers a wide array of addiction recovery services targeted at both adults and young adults. The center provides detox programs, addiction therapy, and focused support for co-occurring substance use disorders and serious mental health challenges in adults, as well as emotional issues in children. Treatment modalities available include intensive outpatient care, long-term residential options, and outpatient services. Orchard on the Brazos Recovery employs evidence-based methods like 12-step programs, anger management training, and brief interventions. The facility features specialized programs for adult men and women, along with support for those affected by domestic violence. Dedicated to providing exceptional care, this center develops personalized treatment strategies aimed at achieving sustainable recovery for all clients.

Oregon Trail Recovery LLC

Oregon Trail Recovery LLC, located in Portland, OR, delivers extensive support for substance abuse recovery, including integrated transitional living accommodations. Their offerings encompass intensive outpatient care, extended residential stays, and standard outpatient programs. Emphasizing 12-step guidance, emotional regulation techniques, and short-term counseling strategies, the center welcomes adult men and women, as well as individuals with trauma histories. This establishment, serving adults and young adults across all gender identities, is recognized for its high standards of care and customized treatment plans designed for each person's journey. Oregon Trail Recovery LLC provides a nurturing setting for individuals aiming to conquer addiction and foster personal growth.

Orenda Center for Wellness LLC

Situated in Sabillasville, MD, the Orenda Center for Wellness LLC delivers targeted assistance for adult women dealing with substance use issues within a nurturing and secure atmosphere. This center features a range of options including long-term, short-term, and 24-hour residential treatment programs that utilize research-backed methods such as cognitive behavioral therapy and 12-step support. The facility particularly addresses the needs of those who have undergone intimate partner violence, domestic violence, and sexual abuse, ensuring that clients with co-occurring substance use and significant emotional challenges receive tailored care. It serves seniors, adults, and young adults alike, offering exceptional support and comprehensive treatment solutions.

Orlando Recovery Center Drug and

The Orlando Recovery Center, situated in Orlando, Florida, delivers thorough addiction treatment for adults and young adults grappling with substance use disorders and co-occurring mental health issues. They offer tailored programs for active military members, adult men, and women, featuring hospital-based inpatient detox and treatment grounded in proven methods such as 12-step facilitation and anger management. Emphasizing personalized care and short-term interventions, the center ensures each patient receives customized assistance in their recovery path. Orlando Recovery Center is committed to providing exceptional, empathetic care to support individuals in attaining sustained sobriety and enhanced mental health.

Orenda Center of Wellness

Situated in Buckeystown, MD, the Orenda Center of Wellness delivers exceptional rehabilitation services aimed at adult males facing challenges related to substance use disorders alongside concurrent mental health issues. The facility presents various treatment options, including long-term, residential, and short-term programs, emphasizing 12-step methods, cognitive behavioral therapy, and motivational incentives. Tailored programs are available for those who have encountered intimate partner violence, domestic violence, and sexual abuse. This center is recognized for its commitment to providing attentive care to adults, seniors, and young adults, creating a nurturing atmosphere for male clients in pursuit of thorough and impactful treatment.

Orange County Healthcare Agency

Situated in Santa Ana, CA, the Orange County Healthcare Agency delivers extensive treatment options for substance use issues, catering to both adults and young adults. The facility includes intensive outpatient programs, standard outpatient services, as well as outpatient treatment with methadone, buprenorphine, or naltrexone. Emphasizing methods such as anger management, brief interventions, and cognitive behavioral strategies, the center customizes its offerings to align with the unique needs of each client. With a specialized focus on assisting adult men and women, along with those who have experienced trauma, the center ensures gender-sensitive care. Committed to providing effective treatment for substance use disorders, the Orange County Healthcare Agency strives to guide individuals towards successful recovery journeys.

Orange County Healthcare Agency

Situated in Santa Ana, CA, the Orange County Healthcare Agency provides a wide range of substance use treatment options that include intensive outpatient programs, general outpatient services, and treatments involving methadone, buprenorphine, or naltrexone. This center emphasizes techniques such as anger management, brief interventions, and cognitive behavioral therapy to deliver a personalized and impactful recovery journey. Aiming for individualized support, the facility serves men and women of all ages, showcasing a commitment to high-quality care that enables clients to conquer addiction and maintain long-term recovery.

Orenda Center of Wellness

Situated in Frederick, MD, the Orenda Center of Wellness delivers a wide range of rehabilitation services designed for adults and seniors. This center specializes in treating substance use disorders alongside co-occurring mental health concerns, providing a variety of options such as intensive outpatient programs, outpatient day treatment, and partial hospitalization. Emphasizing methods like 12-step facilitation, brief intervention, and cognitive behavioral therapy, the Orenda Center customizes its treatment plans to meet the unique needs of each individual. It also features specialized programs for adolescents and separate offerings for adult men and women, ensuring focused and effective care. With a commitment to gender-responsive treatment, both male and female clients receive tailored support. Discover effective care and personalized rehabilitation at the Orenda Center of Wellness.

Operation PAR Inc

Operation PAR Inc, situated in Largo, FL, delivers exceptional addiction recovery services for adult women within a secure and encouraging setting. This institution features a range of treatment durations, encompassing extended stays, shorter programs, and round-the-clock residential care. Prioritizing personalized attention, the center employs scientifically validated methods including 12-step program integration, brief counseling, and cognitive behavioral techniques. Operation PAR Inc also extends its specialized services to diverse groups, such as LGBTQ individuals, expectant and new mothers, and older adults. For those pursuing substance abuse treatment with a customized plan and complete assistance, this center is committed to guiding you toward wellness.

Operation PAR Inc
Spring Hill, FL

Operation PAR Inc, located in Spring Hill, Florida, provides outpatient treatment for substance use, including programs utilizing methadone, buprenorphine, or naltrexone. The center emphasizes various therapeutic methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. It offers specialized programs for individuals dealing with trauma, those with concurrent pain and substance use issues, and expectant or postpartum women. Services are designed for adults and seniors of all genders. Committed to delivering high-quality care, this facility fosters a nurturing atmosphere for individuals looking for effective rehabilitation solutions in a professional context.

Oriana House
Akron, OH

Situated in Akron, OH, Oriana House delivers a wide range of addiction recovery services tailored for both adults and young adults. The center provides various detox programs, including outpatient services, outpatient detox, and residential detox options. Oriana House is known for its expertise in 12-step facilitation, motivational interviewing, and counseling for substance use disorders. Additionally, it offers specialized programs for clients involved in the criminal justice system. Emphasizing personalized care, this facility welcomes clients of all genders. Oriana House is distinguished by its use of evidence-based practices and its dedication to supporting clients on their journey to sustainable recovery.

Operation PAR Inc
Port Richey, FL

Operation PAR Inc, located in Port Richey, FL, delivers outpatient substance abuse treatment utilizing proven, effective methods and prioritizing high standards of service. Their treatment plans incorporate 12-step program support, brief intervention strategies, and cognitive behavioral therapy. The center is equipped to serve specific populations including young people, individuals who have experienced trauma, and those managing both mental health and addiction issues. Operation PAR Inc serves individuals of all ages and genders, from children to adults. Their dedication to tailored support and holistic assistance underscores their mission to guide individuals toward sustained recovery.

Operation PAR Inc
Port Richey, FL

Operation PAR Inc in Port Richey, FL, delivers outpatient care for substance use, encompassing methadone, buprenorphine, or naltrexone therapies. Their expertise lies in 12-step facilitation, brief intervention, and cognitive behavioral therapy. The facility features distinct programs for individuals affected by trauma, those with concurrent pain and substance use issues, and expectant or new mothers. Catering to adults and seniors across all genders, this center provides personalized support to address varied requirements. Emphasizing high standards and research-backed methods, Operation PAR Inc stands as a reliable choice for those pursuing successful recovery in a nurturing setting.

Optimal Behavioral Health

Optimal Behavioral Health, situated in Villas, NJ, delivers targeted care for adults facing significant mental health challenges and children with severe emotional issues, alongside substance use recovery. They offer robust outpatient programs, including intensive options and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Their therapeutic modalities emphasize 12-step principles, anger management strategies, and brief intervention techniques. The facility is equipped to support individuals with trauma histories and those managing co-occurring mental health and substance use conditions. Serving a diverse adult and senior population, Optimal Behavioral Health champions a thorough and individualized recovery journey.

Orange County Healthcare Agency

Situated in Anaheim, California, the Orange County Healthcare Agency delivers a wide range of substance use recovery programs tailored for adults and young adults. This center features intensive outpatient services along with outpatient and standard outpatient options. Employing techniques like anger management, brief intervention, and cognitive behavioral therapy, the facility serves both men and women, including those who have dealt with traumatic experiences. Committed to personalized care, Orange County Healthcare Agency prioritizes effective treatment for individuals aiming to overcome substance use challenges.

Placeholder image

Located in Aliso Viejo, CA, the Orange County Healthcare Agency provides a broad spectrum of substance use rehabilitation services, including intensive outpatient, outpatient, and routine outpatient programs. This center is adept at employing methods such as anger management, brief interventions, and cognitive behavioral therapy to effectively tackle addiction challenges. There are dedicated programs specifically designed for adult men and women, as well as individuals who have gone through traumatic experiences, ensuring a range of specific needs is met. Catering to both adult and young adult clients, the facility emphasizes personalized treatment approaches. If you are in search of tailored support within a nurturing environment, the Orange County Healthcare Agency is committed to guiding you through the recovery process.

Placeholder image
Daytona Beach, FL

Situated in Daytona Beach, Florida, the Orlando VA rehabilitation center delivers extensive support for addiction issues and associated mental health conditions in both adults and children. Emphasizing intensive outpatient and outpatient services, the center caters to adult men, women, and those who have faced domestic abuse through tailored programs. Treatment methods encompass anger management, cognitive behavioral therapy, and short-term interventions. This facility serves individuals of all genders, offering exceptional, individualized care to aid them in their recovery process.

Alcohol Use Disorder (AUD): Key Facts

Classification

Substance Use Disorder (AUD)

Prevalence

28.3 million adults in the US (NIAAA)

Mortality

140,000+ alcohol-related deaths/year in the US

Withdrawal risk

Can be fatal — medical detox required

Treatment success

40-60% maintain long-term sobriety

Treatment duration

30-90 days inpatient; 3-12 months outpatient

FDA-approved medications

Naltrexone, Acamprosate, Disulfiram

Insurance

Covered under ACA and Mental Health Parity Act

What Is Alcohol Use Disorder (AUD)?

DSM-5 definition

Alcohol Use Disorder (AUD) is a chronic medical condition defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a problematic pattern of alcohol use leading to clinically significant impairment or distress. The DSM-5 identifies 11 diagnostic criteria, and the severity of AUD is classified based on how many criteria a person meets: mild (2-3 criteria), moderate (4-5 criteria), or severe (6 or more criteria).

The 11 DSM-5 criteria

The criteria include drinking more or longer than intended, unsuccessful efforts to cut down, spending excessive time obtaining or recovering from alcohol, craving alcohol, failing to fulfill major obligations, continued use despite social problems, giving up important activities, using alcohol in hazardous situations, continued use despite physical or psychological problems, developing tolerance, and experiencing withdrawal symptoms. A healthcare professional can conduct a formal assessment to determine whether AUD is present.

AUD is a medical condition, not a moral failing

Modern neuroscience has established that AUD is a chronic brain disorder involving changes to brain circuits related to reward, stress, and self-control. These changes can persist long after a person stops drinking, which is why willpower alone is rarely sufficient for sustained recovery. Like diabetes or hypertension, AUD responds best to evidence-based medical treatment combined with behavioral support and lifestyle changes.

Signs and Symptoms of Alcohol Addiction

Behavioral signs

  • Drinking alone or in secret
  • Making excuses to drink or hiding alcohol
  • Neglecting responsibilities at work, school, or home
  • Losing interest in hobbies or social activities
  • Continuing to drink despite relationship problems
  • Frequent blackouts or memory gaps

Physical signs

  • Needing more alcohol to feel the same effects (tolerance)
  • Tremors, sweating, or nausea when not drinking
  • Unexplained weight loss or poor nutrition
  • Redness in the face, broken capillaries
  • Liver problems (jaundice, swelling)
  • Insomnia or disrupted sleep patterns

The Alcohol Withdrawal Timeline

Alcohol withdrawal is a potentially life-threatening medical emergency. The timeline and severity depend on the duration and intensity of alcohol use, but the general progression follows a predictable pattern. Medical supervision is strongly recommended for anyone with a history of heavy or prolonged drinking.

6-12 hours

Mild symptoms: anxiety, insomnia, nausea, tremors, sweating, headache, heart palpitations

12-24 hours

Moderate symptoms: visual/auditory hallucinations, increased blood pressure and heart rate, confusion

24-48 hours

Peak risk: withdrawal seizures (tonic-clonic), dangerous blood pressure spikes, severe agitation

48-96 hours

Risk of delirium tremens (DTs): severe confusion, hallucinations, fever, seizures — fatal without treatment

Post-acute withdrawal symptoms (PAWS) — including anxiety, irritability, sleep disturbances, and cravings — may persist for weeks to months after acute withdrawal resolves. Ongoing medical support and therapy help manage these symptoms and reduce relapse risk.

Warning: Alcohol Withdrawal Can Be Fatal

Unlike most other substances, alcohol withdrawal can cause life-threatening complications including seizures and delirium tremens (DTs). Do NOT attempt to quit heavy drinking abruptly without medical supervision. If you or someone you know is experiencing withdrawal symptoms, seek emergency medical care immediately.

SAMHSA National Helpline: 1-800-662-4357 (free, confidential, 24/7)

Types of Alcohol Rehab Programs

Medical detoxification

Medical detox is the critical first step for anyone physically dependent on alcohol. Conducted in a hospital or specialized detox facility, medical staff monitor vital signs around the clock and administer medications (typically benzodiazepines) to prevent seizures and manage withdrawal symptoms safely. Detox typically lasts 5-7 days, though severe cases may require longer stabilization.

Inpatient / residential treatment

Residential treatment programs provide 24/7 structured care in a live-in facility. Programs typically last 30-90 days and include individual therapy, group counseling, medication management, life skills training, and relapse prevention education. Inpatient care is recommended for individuals with severe AUD, co-occurring mental health disorders, or unstable home environments.

Intensive Outpatient Programs (IOP)

Intensive outpatient programs offer 9-20 hours of structured treatment per week while allowing patients to live at home and maintain work or school schedules. IOPs include group therapy, individual counseling, and skill-building sessions. They serve as a step-down from residential care or as primary treatment for moderate AUD.

Standard outpatient treatment

Outpatient treatment involves 1-2 therapy sessions per week and is appropriate for individuals with mild AUD or those transitioning from more intensive levels of care. Outpatient programs focus on relapse prevention, behavioral therapy, and building a sustainable recovery lifestyle over a period of 3-12 months.

Sober living homes

Sober living provides a structured, substance-free living environment for individuals transitioning from inpatient treatment back to independent life. Residents follow house rules (drug testing, curfews, chore participation) and attend outside treatment or support groups. Sober living bridges the gap between intensive treatment and full independence, reducing early relapse risk.

Evidence-Based Treatment Approaches

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is one of the most extensively researched treatments for AUD. CBT helps individuals identify the thoughts, feelings, and situations that trigger drinking, and develop healthier coping strategies. Studies show that CBT reduces drinking frequency and quantity, and its effects persist well beyond the end of treatment.

Medication-Assisted Treatment (MAT)

Medication-Assisted Treatment combines FDA-approved medications with behavioral therapy to treat AUD. The three approved medications for alcohol addiction — naltrexone, acamprosate, and disulfiram — each work through different mechanisms to reduce cravings, restore brain chemistry, or create aversion to drinking. MAT significantly improves treatment outcomes when combined with therapy.

12-Step Programs

12-step programs such as Alcoholics Anonymous (AA) provide peer-based support through a structured recovery framework. Research published in the Cochrane Database of Systematic Reviews found that AA and other 12-step facilitation programs are as effective as CBT in producing sustained abstinence, and may be superior in promoting long-term continuous sobriety. These programs are free and widely available.

Motivational Interviewing (MI)

Motivational Interviewing is a client-centered counseling approach designed to strengthen a person's own motivation and commitment to change. MI is particularly effective in the early stages of treatment, helping individuals who may be ambivalent about quitting alcohol to recognize the discrepancy between their current behavior and their goals. MI is often used alongside other treatment modalities.

Family Therapy

Alcohol addiction affects the entire family system. Family therapy approaches — including Behavioral Couples Therapy and the Community Reinforcement and Family Training (CRAFT) model — help repair damaged relationships, improve communication, and create a home environment that supports recovery. Research shows that involving family members in treatment improves outcomes and reduces relapse rates.

Medications for Alcohol Addiction

Naltrexone

Naltrexone is an opioid antagonist that blocks the euphoric and reinforcing effects of alcohol by binding to opioid receptors in the brain. Available as a daily oral tablet (ReVia) or a monthly injection (Vivitrol), naltrexone reduces heavy drinking days by approximately 25% compared to placebo. It does not cause illness if a person drinks, but it significantly reduces the pleasurable effects of alcohol, helping to break the reward cycle.

Acamprosate (Campral)

Acamprosate works by restoring the balance of neurotransmitters (particularly glutamate and GABA) that are disrupted by chronic alcohol use. It helps reduce the protracted withdrawal symptoms — anxiety, insomnia, restlessness, and dysphoria — that often trigger relapse in early recovery. Acamprosate is most effective when started after detox is complete and is taken three times daily.

Disulfiram (Antabuse)

Disulfiram works through aversion therapy: it blocks the enzyme aldehyde dehydrogenase, causing intensely unpleasant symptoms (nausea, vomiting, flushing, headache, rapid heartbeat) if a person consumes any alcohol. The knowledge that drinking will cause illness serves as a powerful deterrent. Disulfiram is most effective for highly motivated individuals and in supervised administration settings.

How To Choose the Right Alcohol Rehab Center

Evidence-based treatment

Look for programs that use proven approaches like CBT, MAT, and 12-step facilitation rather than unproven methods.

Medical detox available

For moderate to severe AUD, the facility should offer medically supervised detox with 24/7 nursing and physician oversight.

Multiple levels of care

The best programs offer a continuum from detox through residential, IOP, and outpatient so you can step down as you progress.

Dual diagnosis treatment

Depression, anxiety, and PTSD commonly co-occur with AUD. The program should treat both conditions simultaneously.

Verify insurance coverage

Alcohol rehab is covered under most plans thanks to the ACA. Ask the center to verify your benefits before admission.

Check accreditation

Look for CARF or Joint Commission accreditation, licensed counselors, and board-certified addiction medicine physicians.

Related Treatment Approaches and Levels of Care

Frequently Asked Questions About Alcohol Rehab

What is alcohol rehab and how does it work?

Alcohol rehab is a comprehensive treatment program designed to help individuals overcome alcohol use disorder. It typically begins with medical detoxification to safely manage withdrawal symptoms, followed by therapy (individual and group counseling), behavioral interventions, and aftercare planning. Treatment can be provided in inpatient or outpatient settings depending on the severity of addiction.

How long does alcohol rehab treatment last?

Treatment duration varies based on individual needs. Typical programs range from 30 days to 90 days for residential treatment, though some individuals benefit from longer-term care. Outpatient programs may last several months to a year. Research shows that longer treatment durations generally lead to better outcomes and lower relapse rates.

Is medical detox necessary for alcohol addiction?

Medical detox is strongly recommended for alcohol addiction, especially for heavy or long-term drinkers. Alcohol withdrawal can be dangerous and even life-threatening, potentially causing seizures, delirium tremens (DTs), and other serious complications. Medical supervision ensures safety through monitoring, medications to ease symptoms, and immediate intervention if complications arise.

What types of therapy are used in alcohol rehab?

Evidence-based therapies include Cognitive Behavioral Therapy (CBT), which helps identify and change negative thought patterns; Motivational Interviewing to build commitment to recovery; group therapy for peer support; family therapy to heal relationships; and 12-step facilitation. Many programs also incorporate holistic approaches like mindfulness, art therapy, and exercise.

Does insurance cover alcohol rehab treatment?

Most health insurance plans cover alcohol addiction treatment to some degree, thanks to the Affordable Care Act and Mental Health Parity Act. Coverage varies by plan and may include inpatient, outpatient, detox, and therapy services. Contact your insurance provider or the treatment center's admissions team to verify your specific coverage and out-of-pocket costs.

What is the success rate of alcohol rehab?

Success rates vary depending on individual factors, program quality, and commitment to recovery. Studies show that about 40-60% of people who complete treatment maintain sobriety long-term. Success improves with longer treatment duration, strong aftercare support, ongoing therapy, and participation in support groups. Remember that recovery is a lifelong journey, and even temporary setbacks don't mean failure.

What is the CAGE questionnaire?

The CAGE questionnaire is a widely used screening tool for alcohol problems. It consists of four questions: Have you ever felt you should Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt Guilty about your drinking? Have you ever had a drink first thing in the morning (Eye-opener) to steady your nerves or get rid of a hangover? Two or more "yes" answers suggest a high likelihood of alcohol use disorder and warrant further evaluation.

Can you die from alcohol withdrawal?

Yes, alcohol withdrawal can be fatal. Unlike withdrawal from most other substances, alcohol withdrawal carries a significant risk of life-threatening complications including grand mal seizures, delirium tremens (DTs), and cardiovascular collapse. The mortality rate for untreated delirium tremens is estimated at 15-40%. This is why medical detox under professional supervision is critical for anyone physically dependent on alcohol. Never attempt to quit heavy drinking cold turkey without medical guidance.

Medical Review and Sources

Medically Reviewed Updated April 10, 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

Need Help Finding Alcohol Rehab?

Speak with a compassionate specialist who can help you find the right detox, residential, or outpatient program for alcohol addiction — 100% free and confidential, available 24/7.

Find Alcohol Addiction by State

Browse alcohol addiction programs in states with the most treatment options.