57 Drug & Alcohol Rehabs In Wyoming

Sober Nation lists 57 treatment centers across Wyoming, and they cluster where the population does. Cheyenne leads with 9 listed centers, followed by Rock Springs and Gillette with 5 each, then Casper and Sheridan with 4 apiece. Cody and Laramie list 3 each, while Riverton, Lander, and Afton each list 2 — a reminder that much of the state relies on a small number of programs, and that some residents will look toward a regional hub rather than their own town.

Across all 57 centers, outpatient care is the most widely available service at 82%, followed by medication-assisted treatment at 61%. More intensive options are scarcer: 28% of listed centers offer residential care and 25% provide medically supervised detox. Aftercare is nearly universal at 91%, which matters because sustained follow-up is one of the strongest predictors of lasting recovery.

Statewide need is substantial: an estimated 17.9% of Wyoming residents aged 12 or older met the criteria for a substance use disorder in the past year, and among those who needed substance use treatment, about 72% did not receive it (SAMHSA, National Survey on Drug Use and Health, 2022–2023). Overdose deaths are tracked separately: Wyoming recorded 120 drug overdose deaths among residents in 2023, up from 110 in 2022, with fentanyl and methamphetamine the substances most frequently involved (Wyoming Department of Health).

The mix of services listed statewide can help you decide where to start.

• Detox (25% of centers) — medically supervised withdrawal, the safest first step when stopping alcohol, benzodiazepines, or opioids. It is the least available level in Wyoming, so a bed may require travel or a short wait.
• Residential (28%) — living on-site with structured, around-the-clock support, usually after detox and typically for several weeks.
• Outpatient (82%) — by far the most common option here; you live at home and attend scheduled sessions, which fits the long commutes and work-and-family obligations common across the state.
• Medication-assisted treatment (61%) — FDA-approved medications such as buprenorphine, methadone, or naltrexone paired with counseling; the recognized standard of care for opioid and alcohol use disorders.
• Aftercare (91%) — ongoing support once formal treatment ends, from alumni groups to continued counseling, and offered by almost every listed center.

If detox or residential care is not nearby, an outpatient or MAT provider is frequently the most realistic and immediate entry point.

Cost is often the deciding factor, and coverage in Wyoming leans heavily on public insurance. Among listed centers, 93% accept Medicaid and 67% accept Medicare, so if you or your loved one qualifies for either, the large majority of programs in the state are within reach.

That said, Wyoming has not adopted Medicaid expansion, which means childless adults and many low-income residents who would be covered in expansion states may not qualify here. It is an important gap to check before assuming Medicaid will pay. Under the federal Mental Health Parity and Addiction Equity Act, health plans that cover substance use treatment generally cannot apply stricter limits to it than to other medical care, though deductibles, networks, and covered amounts vary widely by plan. For residents who are uninsured or underinsured, the state's behavioral health authority — the Wyoming Department of Health, Behavioral Health Division — funds block-grant and sliding-scale services through contracted providers.

Whatever your coverage, confirm the specifics — what is covered, what is out of pocket, and whether the center is in network — directly with the program before admission.

A few statewide organizations can point you toward help and lower-cost services. The Wyoming Department of Health, Behavioral Health Division is the state's SAMHSA-designated single state agency for substance abuse services; it administers federal block-grant funding and can direct you to state-supported and sliding-scale providers. If you are not sure where to begin, the division can provide a current list of licensed and grant-funded programs in your region.

NAMI Wyoming, the state chapter of the National Alliance on Mental Illness, offers free education, family support groups, and referral help for people managing addiction alongside a mental health condition. Residents of the Wind River Reservation can also reach behavioral health and substance use services through Wind River Family and Community Health Care (Wind River Cares), the tribally operated health system that serves the reservation.

And if you or someone you love is in crisis, the 988 Suicide & Crisis Lifeline connects you — by call or text to 988 — with trained counselors 24 hours a day, including support for substance use emergencies. Every one of these resources is free to contact.