Mental Health & Addiction Treatment in Montana
Treatment Finder lists 116 mental health and substance use treatment facilities in Montana, across 43 cities and towns. Listings come from SAMHSA's national treatment directory and are free to browse — no facility can pay for placement.
In SAMHSA's 2025 directory data for Montana, 20.2% of facilities that report their levels of care offer residential treatment, 9.2% offer partial hospitalization (PHP) and 18.5% offer intensive outpatient (IOP). 95.8% of facilities that report payment information say they accept Medicaid.
Residential care is unevenly spread: 32 of the 44 Montana cities with listed facilities (72.7%) have no residential program at all, so people in those areas often have to travel for inpatient-level care.
facilities listed
cities and towns
say they accept Medicaid*
offer residential care*
Not sure what level of care you need?
Answer a few questions about care type, insurance and how far you can travel, and we'll narrow Montana programs down to the ones that match, so you only call one or two.
Where detox is listed
6 cities in Montana with at least one listed detox program.
Where residential care is listed
12 cities in Montana with at least one listed residential program.
Free help, any time
- In immediate danger: call 911.
- Mental health or substance use crisis: call or text 988, the Suicide & Crisis Lifeline (24/7).
- Free, confidential treatment referrals: SAMHSA National Helpline, 1-800-662-4357 (24/7, English and Spanish).
- Questions about Medicaid in Montana: find your state Medicaid agency on Medicaid.gov.
Frequently asked questions about treatment in Montana
How many addiction and mental health treatment facilities are in Montana?+
Treatment Finder currently lists 116 mental health and substance use treatment facilities in Montana, across 43 cities and towns. The largest numbers are in Billings, Missoula, and Helena.
Do treatment centers in Montana accept Medicaid?+
Many do. In SAMHSA's 2025 directory data, 114 of the 119 Montana facilities that report payment information (95.8%) say they accept Medicaid, and 52.9% accept Medicare. Coverage depends on your specific plan, so confirm with the facility before admission.
Is residential (inpatient) addiction treatment available in Montana?+
Yes. 24 facilities in Montana report offering residential treatment in SAMHSA's 2025 data (20.2% of facilities that report their levels of care). Residential care is listed in Billings, Missoula, Helena, and Great Falls and other cities.
Where can I find detox in Montana?+
Detox is listed in 6 Montana cities on Treatment Finder, including Billings, Helena, Great Falls, and Butte. Call ahead: detox beds fill quickly, and many programs do a phone screening before admission.
What should I do if I need help right now in Montana?+
If you or someone else is in immediate danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline), available 24/7. For free, confidential treatment referrals, call the SAMHSA National Helpline at 1-800-662-4357, also 24/7, in English and Spanish.
Listing and city counts are live. *Level-of-care and payment percentages come from SAMHSA's N-SUMHSS 2025 national directories as processed by Treatment Finder (snapshot 2026-08-12), and count only facilities that report that information. Facilities self-report to SAMHSA, so always confirm services and coverage directly. See our data and the State of Treatment Access report.