Heroin Treatment in Huntington, WV

Quick answer

Huntington has a federally certified opioid treatment program in the city and 36 buprenorphine prescribers within 30 miles. Cabell County recorded 108 overdose deaths in 2024, down from 166 in 2023, with fentanyl in 69% of them. Here is what heroin treatment looks like locally and how to begin.

Published: 2026-10-26 Updated: 2026-10-26

What heroin treatment is available in Huntington, WV?

It depends on the level of structure you want. Huntington Comprehensive Treatment, a federally certified opioid treatment program, sits inside the city and dispenses methadone with daily support. If daily clinic trips do not fit your life, 36 prescribers within 30 miles offer buprenorphine, which can often start within days - sometimes by telehealth. Residential beds and opioid detoxification are options in the radius too. Whichever you pick, the medication is the piece that lowers overdose risk.

Huntington is a city of about 44,942 in Cabell County's 91,489 residents (Census Bureau 2024 estimates), and it has one of the more complete opioid treatment networks in West Virginia. NIDA names buprenorphine, methadone, and naltrexone as the standard of care for opioid use disorder - they reduce craving, keep people in treatment, and cut overdose deaths.

What the local numbers show

The SAMHSA treatment locator lists 47 substance use treatment facilities within 30 miles of downtown Huntington (ZIP 25701) in a pull dated October 26, 2026, including 3 opioid treatment programs, 36 buprenorphine prescribers, 8 with opioid detoxification, 9 with residential beds, and 42 with outpatient care. Inside Cabell County: 16 facilities, 1 opioid treatment program, 12 buprenorphine prescribers, 3 detox programs, and 5 with residential capacity.
The state's Cabell County At-A-Glance 2025 profile records 108 overdose fatalities in 2024, down from 166 in 2023. Fentanyl was present in 69% of the 2024 deaths, methamphetamine in 53%, cocaine in 31%, other opioids in 30%, and benzodiazepines in 21%. The profile does not publish a heroin-specific percentage for 2024, so this page does not quote one.
The same profile counts 13,584 naloxone kits distributed in Cabell County in 2024.

Where to start in Huntington

Heroin almost never arrives by itself now. NIDA reports that illegally made fentanyl is commonly mixed into or sold as heroin, and fentanyl is roughly 50 to 100 times more potent than morphine - which is why the county's own death data reads as a fentanyl story. Medication treatment, not detox alone, is what changes that risk.

Programs the SAMHSA locator lists in and around Huntington (listings are not endorsements - call and ask what is open now):

Huntington Comprehensive Treatment - the in-city federally certified opioid treatment program, dispensing methadone, buprenorphine, and naltrexone.
Prestera Center - Cabell County's designated comprehensive behavioral health provider and a Certified Community Behavioral Health Clinic, listing outpatient, intensive outpatient, and medication treatment regardless of ability to pay.
Buprenorphine-focused and office-based options - 12 prescribers inside the county, several of them primary care or federally qualified health center settings.

One more thing worth knowing: Huntington launched West Virginia's first Quick Response Team in December 2017 - a paramedic, an officer, and a behavioral health specialist who follow up within days after a reported overdose. If an overdose has already brought you here, that visit is a door, not a lecture.

Naloxone and safer use

Naloxone reverses an opioid overdose, including one involving heroin or fentanyl, and cannot hurt someone who has not taken opioids. The Cabell-Huntington Health Department provides free naloxone through its prevention program, and West Virginia's statewide standing order lets any pharmacist dispense it without a prescription. If someone is unresponsive or breathing slowly: call 911, give naloxone, stay with them, and repeat after 2 to 3 minutes if there is no response. For a crisis that is not medical, call or text 988.

Paying for heroin treatment in Huntington

West Virginia expanded Medicaid in 2014, and the state's Medicaid State Plan covers medication-assisted treatment for members who meet medical necessity criteria. Prestera's CCBHC status means inability to pay should not block care. If you are uninsured, HELP4WV at 1-844-435-7498 is a free 24/7 line that can help with enrollment, no-cost options, and transportation to an open bed.

How to start today

In an overdose or medical emergency, call 911 and give naloxone if you have it. For a crisis that is not medical, call or text 988.
Call or text (800) 653-9376 to talk through medication and program options 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 Huntington Comprehensive Treatment or Prestera and ask when you can be assessed - same-week openings are realistic in a metro this size.
Pick up free naloxone at the health department or any pharmacy before you go home.

Cabell County's overdose count dropped by more than a third in a year, and a certified methadone program sits inside the city limits. The step left is the call.

Learn more: drug and alcohol rehab in Huntington, opioid treatment and MAT in Huntington, and medication for opioid use disorder.

More heroin treatment in West Virginia: Heroin treatment in Fairmont, West Virginia, Heroin treatment in Logan, West Virginia, and Heroin treatment in Morgantown, West Virginia.

This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.

Last updated: Mon Oct 26 2026 00:00:00 GMT+0000 (Coordinated Universal Time)

Frequently asked questions

Is there a methadone clinic in Huntington?

Yes. A FindTreatment.gov pull dated October 26, 2026 lists Huntington Comprehensive Treatment as the opioid treatment program inside Cabell County; the other two certified programs within 30 miles sit across the river in Ashland, Kentucky, roughly 10 to 12 miles away. Methadone is dispensed only at certified programs, so call about intake timing.

What medication options are near Huntington for heroin use disorder?

Within 30 miles of downtown, the same locator pull lists 47 substance use treatment facilities - 3 opioid treatment programs, 36 that prescribe buprenorphine, 8 offering opioid detoxification, 9 with residential beds, and 42 providing outpatient care. Inside Cabell County alone: 16 facilities, including 1 opioid treatment program and 12 buprenorphine prescribers.

Where can I get naloxone in Huntington?

The Cabell-Huntington Health Department offers free naloxone through its prevention program, Cabell County distributed about 13,584 kits in 2024 per the state profile, and West Virginia's statewide standing order lets any pharmacist dispense naloxone without a prescription. Naloxone cannot harm someone who is not overdosing.

Does West Virginia Medicaid cover heroin treatment in Huntington?

Yes. West Virginia's Medicaid State Plan covers medication-assisted treatment for members who meet medical necessity criteria. Prestera Center, the county's designated behavioral health provider, operates a Certified Community Behavioral Health Clinic that must serve people regardless of ability to pay.

Is heroin still common in Cabell County overdoses?

The state's Cabell County profile does not publish a heroin-specific share for 2024. It does show fentanyl present in 69% of the county's 108 overdose deaths, methamphetamine in 53%, and cocaine in 31% - the signature of a supply where heroin and fentanyl have largely merged.