Quick answer
New York City recorded 2,192 overdose deaths in 2024, down 28% from 3,056 in 2023. Within 30 miles of New York City, FindTreatment.gov lists 452 substance use facilities, including 98 offering detoxification. Here is how to start treatment.
Last updated: Thu Oct 08 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
New York City is the nation's largest city, spread across five boroughs. Within 30 miles of Lower Manhattan, the federal treatment locator lists 452 substance use facilities, from medical detox to outpatient medication clinics. This guide covers the local overdose numbers, the public front door for treatment, and how to pay for care.
What the local overdose data show
The NYC Health Department reports 2,192 unintentional drug overdose deaths in 2024, down 28% from 3,056 in 2023, with the citywide rate falling from 44.5 to 31.7 per 100,000 residents. The Bronx still has the highest overdose death rate of the five boroughs. Fentanyl remains involved in most deaths, frequently alongside cocaine, alcohol, or benzodiazepines.
Treatment near New York City by the numbers
The SAMHSA treatment locator lists 452 substance use facilities within 30 miles of Lower Manhattan (ZIP 10007):
- 98 offering detoxification (withdrawal management)
- 86 with residential programs
- 365 offering outpatient services
- 77 federally certified opioid treatment programs (methadone clinics) and 315 that prescribe buprenorphine
- 327 that administer or prescribe medication for alcohol use disorder
The 30-mile radius also reaches parts of northern New Jersey and Westchester County, so it overlaps heavily with the Newark count. New Jersey programs follow New Jersey Medicaid rules, so check that a program takes your plan before you cross the river. Counts change as programs open and close, so confirm current openings by phone.
Who provides public treatment in New York City
The New York State HOPEline at 1-877-846-7369 (or text 467369), run by the Office of Addiction Services and Supports (OASAS), is free and confidential and can help with assessment and referral to OASAS-certified programs in all five boroughs.
You can also search findtreatment.gov from ZIP code 10007 and filter by level of care, medication, and payment option.
Levels of care to expect
Care is matched to the person, usually after an assessment. Options near New York City range from medically supervised detox and residential treatment to intensive outpatient programs, regular outpatient counseling, and medication for opioid or alcohol use disorder. Alcohol and benzodiazepine withdrawal can be dangerous, so ask about medical withdrawal management before stopping heavy use.
Paying for treatment
New York expanded Medicaid, and New York Medicaid covers substance use disorder treatment at OASAS-certified programs for eligible members, including withdrawal management, inpatient and residential rehabilitation, outpatient care, and methadone at certified opioid treatment programs. Most members are in managed care plans, so confirm the plan's network before you start.
If you have private insurance, federal parity rules require your plan to cover substance use treatment on terms comparable to medical care; ask about in-network programs and prior authorization. If you are uninsured, ask the New York State HOPEline about publicly funded programs or help applying for New York Medicaid.
How to start today
- In a medical emergency, call 911. For a mental health or substance use crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Call the New York State HOPEline at 1-877-846-7369, or search findtreatment.gov from ZIP code 10007 to compare programs.
- If someone uses opioids, keep naloxone (Narcan) on hand. Pharmacies can dispense it without a prescription.
Treatment by substance in New York City
Questions about rehab in New York City
How many addiction treatment facilities are near New York City?
The SAMHSA FindTreatment.gov locator lists 452 substance use treatment facilities within 30 miles of Lower Manhattan, including 98 offering detoxification, 86 with residential programs, and 365 offering outpatient care. Counts change as programs open and close.
How many people die of drug overdose in New York City?
The NYC Health Department reports 2,192 unintentional drug overdose deaths in 2024, down 28% from 3,056 in 2023. The citywide rate fell from 44.5 to 31.7 per 100,000, and the Bronx still has the highest rate of the five boroughs.
Who do I call for addiction help in New York City?
The New York State HOPEline (1-877-846-7369, or text 467369), run by OASAS, can help with assessment and referral to certified programs. For a crisis, call or text 988.
Does New York Medicaid cover rehab in New York City?
Yes, for eligible members. New York Medicaid covers substance use disorder treatment at OASAS-certified programs, including withdrawal management, residential and outpatient care, and methadone or buprenorphine. Most members are in managed care plans, so confirm the network before you start.
Is alcohol or opioid withdrawal dangerous?
Alcohol and benzodiazepine withdrawal can cause seizures and delirium tremens and should be managed with medical supervision. Opioid withdrawal is rarely life-threatening on its own, but the risk of overdose after a break is high, so start with a plan for medication and naloxone. Call 911 if someone is unresponsive or struggling to breathe.