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Public data

Detox Treatment Deserts: How Far Is the Nearest Detox?

2,881 places in America have an addiction treatment center but no detox — and from half of the ones that can be measured, the nearest detox is at least 18.1 miles away.

That is measured straight across a map. The real trip is longer.

If you need help finding a place, one free call will get you a list.

Call 1-800-662-4357

What happens when you call: a trained information specialist picks up and points you to treatment programs, support groups and community organizations near you. SAMHSA says the service will not ask you for any personal information — it may ask your ZIP code so it can find what is close. It is free, confidential, open 24 hours a day every day of the year, and answered in English and Spanish. It is not a counseling line, and nobody there is selling you anything. If you have no insurance, SAMHSA refers you to your state office for state-funded programs.

If someone is unresponsive, not breathing normally, or having a seizure, call 911 first. For a suicide or mental health crisis, call or text 988.

Where the nearest detox is farthest away

Each state is shaded by how far the typical city area in it sits from the nearest facility reporting detox — the same figure each state page gives. Darker means farther from detox. Tap a state to open it, or use the full ranked list underneath, which carries every figure in words.

Alaska Hawaii Puerto Rico FL GA ID IL IN IA KS KY LA ME MI MN MS MO MT NE NV NM NY NC ND OH OK OR PA SC SD TN TX UT VA WA WV WI WY AL AZ AR CA CO AK HI PR VT 2.1 mi NH 7.5 mi MA 2.7 mi RI 2.6 mi CT 5.1 mi NJ 3.7 mi DE 5.2 mi MD 1.5 mi DC 1.6 mi Too small to tap
Straight-line miles from a city area’s treatment-facility centroid to the nearest facility reporting detox, median across all city areas in the state. Alaska, Hawaii and Puerto Rico are drawn in their own boxes and are not to scale with the rest of the map. Distances are straight-line, so a real trip is longer.

Miles to the nearest detox facility, typical city area. Darker means farther from detox.

  • Under 5 miles10 states
  • 5 to under 10 miles13 states
  • 10 to under 20 miles10 states
  • 20 to under 30 miles12 states
  • 30 miles and over7 states

All 52, farthest from detox first

The same numbers as the map, in order, so the ranking does not depend on seeing colour.

  1. 1 Alaska 205.5 mi
  2. 2 Montana 79.7 mi
  3. 3 Wyoming 52 mi
  4. 4 Iowa 35.1 mi
  5. 5 North Dakota 32.2 mi
  6. 6 Arkansas 31.7 mi
  7. 7 Kansas 31.5 mi
  8. 8 Oklahoma 28.8 mi
  9. 9 Nebraska 28.3 mi
  10. 10 Missouri 27.1 mi
  11. 11 Nevada 27 mi
  12. 12 South Dakota 26.8 mi
  13. 13 New Mexico 26.3 mi
  14. 14 Wisconsin 25.5 mi
  15. 15 Alabama 22.5 mi
  16. 16 Tennessee 22.5 mi
  17. 17 Idaho 22.3 mi
  18. 18 Mississippi 22.1 mi
  19. 19 South Carolina 20.1 mi
  20. 20 Minnesota 19.2 mi
  21. 21 Oregon 18.9 mi
  22. 22 Kentucky 15.5 mi
  23. 23 Colorado 15.4 mi
  24. 24 Maine 15.3 mi
  25. 25 Virginia 14.9 mi
  26. 26 Arizona 13.1 mi
  27. 27 Indiana 12.5 mi
  28. 28 Hawaii 12.3 mi
  29. 29 North Carolina 11.9 mi
  30. 30 Washington 9.8 mi
  31. 31 West Virginia 8.9 mi
  32. 32 Utah 8.5 mi
  33. 33 New Hampshire 7.5 mi
  34. 34 Puerto Rico 7.2 mi
  35. 35 Michigan 6.6 mi
  36. 36 Georgia 6.1 mi
  37. 37 Illinois 5.6 mi
  38. 38 New York 5.6 mi
  39. 39 Pennsylvania 5.4 mi
  40. 40 Delaware 5.2 mi
  41. 41 Connecticut 5.1 mi
  42. 42 Ohio 5.1 mi
  43. 43 Louisiana 4.2 mi
  44. 44 New Jersey 3.7 mi
  45. 45 Florida 3.2 mi
  46. 46 Texas 3.1 mi
  47. 47 Massachusetts 2.7 mi
  48. 48 Rhode Island 2.6 mi
  49. 49 Vermont 2.1 mi
  50. 50 California 1.7 mi
  51. 51 District of Columbia 1.6 mi
  52. 52 Maryland 1.5 mi

The numbers behind this

Everything above comes from one federal dataset. This is that dataset, in full, with what it can and cannot tell you spelled out at the bottom.

Of the 4,185 US city areas that list at least one addiction treatment facility in the federal SAMHSA FindTreatment.gov directory, 2,881 have no facility reporting detoxification services at all. For the 2,756 of those city areas that have usable coordinates, the median straight-line distance to the nearest detox facility is 18.1 miles, a quarter of them are more than 34.1 miles away, and the farthest — Barrow, Alaska — is 700.1 miles from the nearest detox-group facility in the directory.

2,881
city areas with treatment facilities but none reporting detox, out of 4,185
18.1 mi
median distance to the nearest detox facility from those city areas
2,283
of 12,035 listed facilities report into the SAMHSA detox field group (19%)
336
city areas whose nearest detox facility is across a state line

What this page measures

Detoxification is often the first medically supervised step for someone withdrawing from alcohol or opioids, and it is the step that is hardest to substitute with a phone call or a longer drive. This page measures one narrow, checkable thing: for every city area in the federal directory that has any treatment facility, how far is it in a straight line to the nearest facility that reports offering detox.

It is a distance measure and nothing more. It does not use county boundaries, it does not adjust for population, and it does not evaluate any facility. Distance is not the same as access — a facility eleven miles away can still be unreachable without a car, and a facility with a listing can still have no open bed. The numbers below describe the shape of the federal record, not the lived experience of getting care.

Distribution of distance to the nearest detox facility

Straight-line miles from a city area’s facility centroid to the nearest detox-group facility. City areas with no facility coordinates are excluded.

GroupCity areas measuredMedian75th percentile90th percentileFarthest
All city areas with a treatment facility4,0338.5 mi25.2 mi46.9 mi700.1 mi
City areas with facilities but none reporting detox2,75618.1 mi34.1 mi56 mi700.1 mi

The first row includes city areas that have a detox facility of their own, where the distance from the centroid to that facility is close to zero. That is why the two medians differ so widely: 8.5 miles across every city area, 18.1 miles once you look only at the 2,756 places that have treatment but no detox.

State by state

All 52 states and territories with facilities in the directory. Percentages are of that state’s listed facilities. Column headers are clickable to sort when JavaScript is available; the table is complete and sorted by state name without it.

State Facilities Reporting detox Percent detox City areas City areas with no detox Median distance, all areas Median distance, no-detox areas Farthest no-detox area
Alaska 69 6 8.7% 26 21 205.5 mi 239.5 mi 700.1 mi
Alabama 104 18 17.3% 52 38 22.5 mi 29.2 mi 51.3 mi
Arkansas 127 14 11% 63 52 31.7 mi 34.6 mi 76.7 mi
Arizona 414 65 15.7% 71 49 13.1 mi 24.8 mi 118.6 mi
California 978 363 37.1% 299 127 1.7 mi 7.9 mi 85.2 mi
Colorado 231 30 13% 66 47 15.4 mi 32.6 mi 114 mi
Connecticut 156 22 14.1% 59 42 5.1 mi 7.7 mi 17 mi
District of Columbia 29 5 17.2% 1 0 1.6 mi — —
Delaware 35 5 14.3% 11 7 5.2 mi 8.8 mi 17.9 mi
Florida 484 143 29.5% 129 63 3.2 mi 12.3 mi 44 mi
Georgia 251 65 25.9% 102 54 6.1 mi 14 mi 47.8 mi
Hawaii 82 7 8.5% 26 22 12.3 mi 21.2 mi 121.6 mi
Iowa 202 12 5.9% 93 83 35.1 mi 37.9 mi 87.5 mi
Idaho 106 11 10.4% 32 25 22.3 mi 33.3 mi 126.3 mi
Illinois 537 71 13.2% 191 147 5.6 mi 9.9 mi 60.2 mi
Indiana 387 66 17.1% 113 79 12.5 mi 16.8 mi 38.2 mi
Kansas 145 18 12.4% 73 61 31.5 mi 41.7 mi 102.2 mi
Kentucky 385 54 14% 127 97 15.5 mi 18.8 mi 61 mi
Louisiana 160 49 30.6% 62 35 4.2 mi 19.5 mi 46.2 mi
Massachusetts 322 50 15.5% 114 76 2.7 mi 5.2 mi 40.4 mi
Maryland 412 99 24% 102 51 1.5 mi 4.9 mi 32.4 mi
Maine 123 12 9.8% 43 35 15.3 mi 23.6 mi 176.6 mi
Michigan 359 68 18.9% 134 91 6.6 mi 17.4 mi 142.9 mi
Minnesota 333 29 8.7% 96 79 19.2 mi 23.9 mi 85.3 mi
Missouri 246 33 13.4% 105 86 27.1 mi 29.7 mi 88.5 mi
Mississippi 94 20 21.3% 64 47 22.1 mi 25.8 mi 47.8 mi
Montana 78 6 7.7% 38 32 79.7 mi 89 mi 141.7 mi
North Carolina 421 70 16.6% 136 90 11.9 mi 17 mi 91.5 mi
North Dakota 62 9 14.5% 18 13 32.2 mi 50.3 mi 88.6 mi
Nebraska 114 14 12.3% 34 26 28.3 mi 37 mi 119 mi
New Hampshire 70 13 18.6% 34 23 7.5 mi 14.4 mi 43.8 mi
New Jersey 322 47 14.6% 157 123 3.7 mi 4.8 mi 26.1 mi
New Mexico 110 27 24.5% 43 29 26.3 mi 43.9 mi 102.2 mi
Nevada 77 22 28.6% 12 6 27 mi 81.9 mi 150.4 mi
New York 573 99 17.3% 176 129 5.6 mi 11 mi 94.2 mi
Ohio 480 121 25.2% 137 78 5.1 mi 13.9 mi 35.1 mi
Oklahoma 126 15 11.9% 66 57 28.8 mi 36.3 mi 84.4 mi
Oregon 174 14 8% 56 46 18.9 mi 41.4 mi 136.3 mi
Pennsylvania 480 90 18.8% 206 143 5.4 mi 11 mi 59.7 mi
Puerto Rico 50 12 24% 26 16 7.2 mi 11.7 mi 27.8 mi
Rhode Island 44 11 25% 17 11 2.6 mi 5.7 mi 10.6 mi
South Carolina 94 17 18.1% 54 42 20.1 mi 23.3 mi 45.8 mi
South Dakota 40 6 15% 18 13 26.8 mi 43.1 mi 140.5 mi
Tennessee 314 45 14.3% 105 83 22.5 mi 25.1 mi 53.1 mi
Texas 406 110 27.1% 140 70 3.1 mi 19.9 mi 117.2 mi
Utah 251 49 19.5% 64 42 8.5 mi 32 mi 121.6 mi
Virginia 266 44 16.5% 105 79 14.9 mi 19.9 mi 64.8 mi
Vermont 50 9 18% 22 13 2.1 mi 20.3 mi 52.6 mi
Washington 256 26 10.2% 86 66 9.8 mi 17 mi 89.5 mi
Wisconsin 232 28 12.1% 91 74 25.5 mi 31.8 mi 77 mi
West Virginia 129 35 27.1% 60 38 8.9 mi 17 mi 47 mi
Wyoming 45 9 20% 30 25 52 mi 63.9 mi 109.2 mi

The District of Columbia shows no value in the last two columns because it is a single city area and it has facilities reporting detox, so it has no no-detox area to measure.

The 25 city areas farthest from any detox facility

Every one of these has at least one addiction treatment facility in the federal directory. None has one reporting detox.

#City areaFacilities listedStraight-line miles to nearest detoxNearest detox is in
1 Barrow, Alaska 2 700.1 mi Wasilla, AK
2 Klawock, Alaska 1 578.8 mi Cordova, AK
3 Wrangell, Alaska 1 556.8 mi Cordova, AK
4 Petersburg, Alaska 1 526.1 mi Cordova, AK
5 Sitka, Alaska 2 442.7 mi Cordova, AK
6 Juneau, Alaska 3 422.9 mi Cordova, AK
7 Bethel, Alaska 2 398.1 mi Anchorage, AK
8 Haines, Alaska 1 368.2 mi Cordova, AK
9 Kodiak, Alaska 1 248.8 mi Anchorage, AK
10 Fairbanks, Alaska 6 230.2 mi Wasilla, AK
11 Nenana, Alaska 1 205.6 mi Wasilla, AK
12 Delta Junction, Alaska 1 205.5 mi Wasilla, AK
13 Anderson, Alaska 1 190.3 mi Wasilla, AK
14 Madawaska, Maine 1 176.6 mi Bangor, ME
15 Fort Kent, Maine 1 169.2 mi Bangor, ME
16 Elko, Nevada 3 150.4 mi Gooding, ID (different state)
17 Caribou, Maine 3 146.2 mi Bangor, ME
18 Marquette, Michigan 3 142.9 mi Petoskey, MI
19 Glasgow, Montana 1 141.7 mi Havre, MT
20 Pierre, South Dakota 1 140.5 mi Howard, SD
21 Negaunee, Michigan 2 138.7 mi Green Bay, WI (different state)
22 Ishpeming, Michigan 1 138.1 mi Green Bay, WI (different state)
23 Hines, Oregon 1 136.3 mi Meridian, ID (different state)
24 Martin City, Montana 1 136.1 mi Coeur d Alene, ID (different state)
25 Presque Isle, Maine 4 134.1 mi Bangor, ME

How this was built, and what it cannot tell you

  • Source. Every facility record comes from the federal SAMHSA FindTreatment.gov directory. Rehab Connect USA imported this copy of the directory between April 9, 2026 and April 16, 2026. That is an import date, not a verification date — we do not know when SAMHSA last checked any individual record, and we make no claim that this data is current.
  • “Detox” means a reported field group, not a verified service. The directory stores services as SAMHSA field-group codes. A facility counted here as offering detox is one that reported into the detoxification group. It is not confirmation that a specific detox service exists, is staffed, or is available to any given person.
  • 938 facilities have no coordinates and are excluded from all distance math. Of the 2,283 facilities in the detox group, 2,099 have usable latitude and longitude and 184 do not. Those 184 cannot be the answer to “where is the nearest detox,” so a real facility may sit closer than a distance shown here. Distances on this page are therefore upper bounds, not exact travel figures.
  • 152 of the 4,185 city areas have no facility with coordinates at all and appear in the counts but carry no distance.
  • Distances are straight-line, not driving distance. Each figure is the great-circle (haversine) distance from a city area’s facility centroid — the average position of its listed facilities — to the nearest detox-group facility. Real travel is longer, sometimes far longer where there is water, mountain, or no road.
  • The nearest facility is not filtered by state line. For 336 city areas the closest detox-group facility is in a different state. That is the correct answer for someone actually travelling, so it is not suppressed.
  • City areas are matched case-insensitively. A raw distinct query over the directory returns 4,186 city and state combinations; that is 1 more than the 4,185 used here because LaGrange, Indiana is stored under two different capitalizations. It is one place, counted once.
  • Appearing in the federal record is not a guarantee of anything. A listing is not a guarantee of current operation, open beds, admission, insurance acceptance, or availability at the moment you call. Contact the facility directly.
  • What is not here. This page does not use county boundaries and does not adjust for population. It measures distance only. It does not rate, rank, recommend, or endorse any facility, and it says nothing about treatment quality or outcomes.

If you are going, or thinking about it

Browse by state

Each state page lists that state’s city areas that have treatment facilities but none reporting detox, ranked by distance.

Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

If you or someone you know needs help now, the SAMHSA National Helpline is free, confidential, and available 24 hours a day at 1-800-662-4357. In an emergency, call 988 or 911.

1-800-662-4357 Call for help