Substance Abuse Treatment & Recovery

Detox, residential and outpatient treatment, medication-assisted treatment (MAT), and naloxone access across Wyoming.

Wyoming's substance use treatment system runs through county-level Behavioral Health Centers rather than a single statewide intake line, and coverage has real gaps worth knowing about before you start calling: the state has no methadone clinic, so anyone needing methadone maintenance must travel out of state, and Wyoming has no legal syringe services program — needle exchange remains criminalized under state paraphernalia law. Supervised consumption (safe injection) sites are not legal anywhere in the United States, including Wyoming; they remain blocked nationwide by federal law regardless of what you may have heard about other cities. What Wyoming does offer: detox, residential and outpatient treatment, buprenorphine-based medication-assisted treatment, and free naloxone through a statewide pharmacy standing order.

The Wyoming Department of Health's central hub for locating state-funded, low-cost mental health and substance use treatment, including community substance use centers, MAT providers, and residential treatment centers statewide.

State access pointTreatment locatorStatewide
Eligibility, how to apply, contact info
Who qualifies

Open to any Wyoming resident seeking mental health or substance use treatment, regardless of insurance status; most listed centers offer sliding-fee scales.

How to get help

Start at the treatment page and choose the relevant locator: Community Mental Health Counselor, Substance Use Counselor/Opioid Treatment, or Residential Drug and Alcohol Treatment. Each links to county-by-county lists of certified providers with direct phone numbers. Call the nearest Behavioral Health Center (BHC) directly to request an intake assessment (ASI/ASAM) — this is the actual entry point into state-funded care rather than a single statewide call line. If you can't find the right fit, call the Behavioral Health Division directly at (307) 777-5817 or 1-800-535-4006 for help navigating options.

Contact

122 West 25th Street, Herschler Bldg 2W, Suite B, Cheyenne, WY 82002. Phone: (307) 777-6494. Toll-free: (800) 535-4006. Fax: (307) 777-5849.

Cost

Varies by provider; most Behavioral Health Centers use a sliding-fee scale based on ability to pay, and many are state-grant-funded to offset costs for uninsured clients. Contact the specific center to confirm.

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State-maintained directory of residential (inpatient) drug and alcohol treatment centers in Wyoming for adults and youth, including grant-funded facilities that help offset treatment costs.

Residential treatmentInpatientStatewide directory
Eligibility, how to apply, contact info
Who qualifies

Adults and youth needing residential-level substance use treatment; admission generally requires a recent Addiction Severity Index (ASI) and ASAM assessment recommending residential care, plus a basic physical and TB test.

How to get help

A current substance use counselor (e.g., at a Community Substance Use Treatment Center) can complete the required ASI/ASAM assessment and help you apply to an appropriate residential center. Expect a wait list at every facility — actual wait time varies by intakes, exits, and staffing. Grant-funded centers (marked with an asterisk on the state page) receive Behavioral Health Division funding to help offset costs. Key adult providers include Central Wyoming Counseling Center (Casper), Volunteers of America Northern Rockies (Cheyenne/Sheridan), Southwest Counseling Service (Rock Springs), Cedar Mountain Center/West Park Hospital (Cody), and Wyoming Recovery (Casper).

Contact

Wyoming Behavioral Health Division: (307) 777-6494 or 1-800-535-4006. See page for county-specific provider phone numbers.

Cost

Most, but not all, centers offer a sliding-fee scale based on ability to pay; contact the specific facility to confirm current rates and Medicaid acceptance.

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A licensed, Joint Commission-accredited addiction treatment campus in Casper offering medically supervised drug and alcohol detox, residential and outpatient treatment, and a Suboxone (buprenorphine/naloxone) MAT program.

Medical detoxMAT/SuboxoneCasper
Eligibility, how to apply, contact info
Who qualifies

Adults seeking drug or alcohol detox, residential treatment, outpatient care, or MAT; same-day admission is available for patients in urgent circumstances.

How to get help

Call (307) 265-3791 to speak with a case manager (available on-call 24/7) or submit the online admissions request form. You can also download and mail in a printed application. For urgent situations, ask specifically about same-day admission. During detox, patients are monitored 24/7 by medical staff and given non-habit-forming medication to manage withdrawal symptoms.

Contact

231 South Wilson Street, Casper, WY 82601. Phone: (307) 265-3791. Office hours Mon–Fri 8am–5pm; case manager on call 24/7.

Cost

Accepts insurance; contact them directly to confirm coverage, Medicaid acceptance, and self-pay/sliding-scale options.

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An 81-bed acute-care psychiatric hospital in Casper offering inpatient crisis stabilization and outpatient programs for adults and adolescents, including treatment for co-occurring substance use and mental health disorders.

InpatientCrisis stabilizationDual diagnosis
Eligibility, how to apply, contact info
Who qualifies

Children, adolescents, and adults experiencing a mental health or substance use crisis, including co-occurring disorders; accepts Medicare, Medicaid, TRICARE, and most major insurance.

How to get help

Call the main line, available 24/7, to speak with an assessment counselor about admission — walk-in evaluations and professional referrals are both accepted. Outpatient programs (including intensive outpatient) can be scheduled through the separate outpatient line. Ask about insurance verification during the initial call; the facility publishes price-transparency information online.

Contact

2521 E. 15th St., Casper, WY 82609. Main: 800-457-9312 (24/7). Outpatient: 307-439-2139.

Cost

Accepts Medicare, Medicaid, TRICARE, and most private insurance; contact admissions to confirm specific plan coverage and any self-pay rates.

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A major nonprofit provider of residential and outpatient addiction treatment across Wyoming, Montana, and western South Dakota, including a White Bison-certified, CARF-accredited residential program and Medication-Assisted Treatment (MAT) for opioid use disorder.

ResidentialMATStatewide network
Eligibility, how to apply, contact info
Who qualifies

Adults with substance use disorders, including opioid use disorder; VOANR runs dedicated facilities for men, women, and women with young children, plus culturally-specific Native American services.

How to get help

Call the general line at 1-866-438-2862 (1.866.Get.2.VOA) or contact your local VOANR office directly — they operate in most Wyoming counties (Cheyenne, Sheridan, Laramie, Gillette, Buffalo, Torrington, Sundance, Wheatland, Newcastle, and more). Ask specifically about Admissions, Center of Hope, Harmony House, Life House, or MAT services depending on the level of care needed. VOANR also partners with the Wyoming Department of Health to help cover MAT costs.

Contact

Headquarters: 1876 S Sheridan Avenue, Sheridan, WY 82801. Phone: 307-672-0475 or 1-866-438-2862.

Cost

State/Department of Health funding helps offset MAT and treatment costs; contact your local VOANR office to confirm sliding-scale fees, Medicaid acceptance, and current wait times.

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A Casper-based, CARF-accredited nonprofit offering the full continuum of substance use care — outpatient recovery, residential treatment, medically supervised withdrawal management (detox), and Medication-Assisted Treatment — for adults 18+.

DetoxMATOutpatient
Eligibility, how to apply, contact info
Who qualifies

Adults 18 and older; includes a specialized residential program for pregnant and parenting mothers with children newborn to age 8.

How to get help

Call (307) 237-9583 or use the online 'Request an Appointment' form; same-day appointments and walk-ins are welcomed for Open Access intake (confirm current Open Access hours by phone, as they can change). After an intake assessment, staff will place you into outpatient, residential, withdrawal management, or MAT tracks as clinically appropriate. For a crisis, use the CWCC direct line or call/text 988.

Contact

1430 Wilkins Circle, Casper, WY 82601. Phone: (307) 237-9583. Fax: (307) 265-7277.

Cost

Accepts insurance and Medicaid; contact them directly regarding sliding-scale/self-pay options.

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State-run directory of Wyoming providers funded through SAMHSA's State Opioid Response (SOR) grant to offer buprenorphine and naltrexone Medication-Assisted Treatment for opioid and stimulant use disorder, organized by county, plus a link to SAMHSA's national practitioner locator for additional buprenorphine prescribers.

MATBuprenorphineOpioid treatment
Eligibility, how to apply, contact info
Who qualifies

Wyoming residents with opioid or stimulant use disorder; the state page notes that nearly everyone qualifies for free or low-cost treatment through this grant funding. Wyoming has no methadone clinic — anyone needing methadone specifically must travel out of state.

How to get help

Scroll to your county on the page and call the listed provider directly to ask about MAT/buprenorphine services — outpatient and telehealth options are available in many areas so treatment doesn't require relocating. If your county's local provider doesn't offer MAT on-site, the page directs you to explore neighboring counties. For a broader list of all buprenorphine-waived prescribers, use the linked SAMHSA locator.

Contact

Wyoming Behavioral Health Division: (307) 777-6494 or 1-800-535-4006. County-specific provider numbers listed on the page.

Cost

Free or low-cost for eligible residents through SOR grant funding; contact the specific provider to confirm current sliding-scale terms.

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A free, confidential, 24/7/365 national treatment referral and information hotline for individuals and families facing mental health or substance use disorders, available in English and Spanish — a strong fallback when local Wyoming options are hard to navigate.

National hotline24/7Free referral
Eligibility, how to apply, contact info
Who qualifies

Anyone in the U.S.; no insurance, diagnosis, or referral required to call.

How to get help

Call 1-800-662-4357 (1-800-662-HELP) any time, day or night, for confidential support and referrals to local treatment facilities, support groups, and community organizations. TTY users can call 1-800-487-4889. You can also text your ZIP code to 435748 (HELP4U) or use SAMHSA's online FindTreatment.gov locator to search Wyoming-specific providers directly.

Contact

1-800-662-4357 (24/7, English and Spanish). TTY: 1-800-487-4889.

Cost

Free.

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Wyoming law (W.S. §35-4-901 through 906) authorizes pharmacists to dispense naloxone via standing order without an individual prescription, and the Wyoming Department of Health provides NARCAN and fentanyl test strips at no cost to agencies, businesses, and organizations, plus a statewide map of community sites offering free doses to individuals.

NaloxoneHarm reductionFree Narcan
Eligibility, how to apply, contact info
Who qualifies

Any Wyoming pharmacy customer can request naloxone under the statewide standing order (no individual prescription needed); the free bulk-order program is for agencies/organizations, while the Community Naloxone Resource Map helps individuals find no-cost doses near them.

How to get help

Individuals: walk into most Wyoming pharmacies and ask the pharmacist for naloxone under the standing order, or check the Wyoming DOH's Community Naloxone Resource Map for free-distribution sites across the state's counties. Organizations: complete the online NARCAN order form and email it to overdose.prevention@wyo.gov for approval; free fentanyl test strips can be ordered separately (ships to physical Wyoming addresses only, 1-2 week turnaround). Wyoming also has a Good Samaritan law (SF0074) granting limited immunity from prosecution to anyone who calls 911 to report an overdose.

Contact

Wyoming DOH Behavioral Health Division: (307) 777-6494 or 1-800-535-4006. NARCAN order questions: overdose.prevention@wyo.gov. Fentanyl test strip orders: bhd.grants@wyo.gov.

Cost

Free — both the organizational NARCAN/fentanyl-strip program and most Community Naloxone Resource Map sites provide doses at no cost; pharmacy purchase without insurance may carry a cost, so ask the pharmacist about free options first.

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