Texas Addiction Treatment Center Rankings & Safety Report

zReports Research Institute · Updated September 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.09 Facilities analyzed650 Government sourcesthe state's licensing authority Last updatedSeptember 2026 MethodologyConsumer Z Score™ · Database v2026.09

Texas has 650 active licensed treatment centers on the state's public file. zReports analyzed SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS) to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

650active licensed treatment centers across 195 Texas cities appear on the state's public file.
48.8%hold an A or B records layer grade.
76.1is the statewide average records layer score across all graded treatment centers.
Dallasis the highest-scoring larger city (36 facilities, average score 81.1).
Houstonhas the most licensed treatment centers in the state (78).

Key statistics

StatisticValue
Active licensed treatment centers650
Cities covered195
Statewide average records layer score76.1
Grade A facilities206 (31.7%)
Grade B facilities111 (17.1%)
Grade C facilities333 (51.2%)
Facilities with a clean record (no deficiencies on file)650 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 76.1.

CityFacilitiesAvg scorevs state
Dallas3681.1+5
San Antonio3679+2.9
Austin3077.3+1.2
Lubbock1276.8+0.7
Corpus Christi1275.5-0.6
Fort Worth2675-1.1
Houston7874.3-1.8
Arlington1174.3-1.8
El Paso2273.5-2.6

By city

Houston (78)San Antonio (36)Dallas (36)Austin (30)Fort Worth (26)El Paso (22)Lubbock (12)Corpus Christi (12)Arlington (11)Amarillo (9)Laredo (8)Longview (7)Beaumont (7)Conroe (7)Spring (7)Plano (7)Mckinney (6)Abilene (6)Weatherford (6)Tyler (6)Frisco (6)Midland (6)Cedar Park (6)Angleton (5)Lufkin (5)Mansfield (5)San Angelo (5)Odessa (5)Waco (4)Denton (4)Forney (4)Georgetown (4)Pharr (4)Carrollton (4)Orange (4)Garland (4)Brownsville (4)Temple (4)Lewisville (4)Texas City (4)Victoria (4)Harlingen (3)Tomball (3)Wichita Falls (3)Pearland (3)Brookshire (3)Killeen (3)Grand Prairie (3)Eagle Pass (3)Sherman (3)Galveston (3)Bryan (3)Irving (3)Richmond (3)Texarkana (3)Port Arthur (3)Jacksonville (3)Stephenville (2)Alvin (2)Haltom City (2)Seguin (2)Carrizo Springs (2)San Marcos (2)Humble (2)La Marque (2)Pearsall (2)Grapevine (2)Katy (2)Plainview (2)Cleburne (2)Round Rock (2)Dickinson (2)Canton (2)Lockhart (2)Rockwall (2)Floresville (2)Sugar Land (2)New Braunfels (2)Southlake (2)Cypress (2)Greenville (2)College Station (2)Addison (2)Hurst (2)Manor (2)Fredericksburg (2)Nacogdoches (2)Fort Stockton (1)Robstown (1)Wimberley (1)Van Horn (1)Mc Camey (1)Paris (1)Devine (1)Waelder (1)Flower Mound (1)Cameron (1)Johnson City (1)Goldthwaite (1)Beeville (1)Center Point (1)Buda (1)Taylor (1)Kingwood (1)Sulphur Springs (1)Jasper (1)Waxahachie (1)Hungerford (1)Nederland (1)Stafford (1)Elgin (1)Richardson (1)Decatur (1)Crystal City (1)Lake Jackson (1)Kemah (1)Corsicana (1)Clute (1)Alice (1)Ennis (1)Rosenberg (1)Granbury (1)Kingsville (1)Henderson (1)Sweetwater (1)Pampa (1)Kermit (1)Monahans (1)Jourdanton (1)Post (1)North Richland Hills (1)Edinburg (1)Princeton (1)Hereford (1)Athens (1)Farmers Branch (1)Woodway (1)Van Alstyne (1)Mineola (1)Winters (1)Presidio (1)Burleson (1)Alpine (1)Egypt (1)Weslaco (1)Bellaire (1)Snyder (1)Needville (1)La Grange (1)Baytown (1)Bay City (1)Mesquite (1)Cotulla (1)Giddings (1)Allen (1)Pasadena (1)Kyle (1)Junction (1)Taft (1)Kaufman (1)Mount Pleasant (1)Zapata (1)Hempstead (1)Bandera (1)Hockley (1)Terrell (1)Deer Park (1)Spicewood (1)Windcrest (1)Livingston (1)Emory (1)Mineral Wells (1)Porter (1)Silsbee (1)Kerrville (1)Azle (1)Big Spring (1)Freeport (1)Desoto (1)Marble Falls (1)Gonzales (1)Canyon Lake (1)Bastrop (1)San Augustine (1)Lake Worth (1)Hewitt (1)Hunt (1)Kenedy (1)Bonham (1)Palestine (1)Colleyville (1)Colorado City (1)Uvalde (1)Portland (1)Jersey Village (1)

Statewide top 25

#1 Amarillo Va Healthcare System Amarillo · A

#2 Audie L Murphy Memorial Veterans Hosp San Antonio · A

#3 Nexus Family Recovery Center Dallas · A

#4 Laurel Ridge Treatment Center San Antonio · A

#5 Kemah Palms Recovery Kemah · A

#6 Cenikor Foundation Irving · A

#7 Nexus Family Recovery Center INC Dallas · A

#8 Central Texas Va Healthcare System Waco · A

#9 Blue Heron Recovery San Antonio · A

#10 Michael E Debakey Va Medical Center Houston · A

#11 Department Of Veteran Affairs Hospital Dallas · A

#12 Central Texas Va Healthcare System Temple · A

#13 Center For Healthcare Services San Antonio · A

#14 Cenikor Foundation Deer Park · A

#15 Cenikor Foudation Waco Waco · A

#16 Westbridge Recovery Center Porter · A

#17 Recovery Unplugged Austin Austin · A

#18 Serenity Light Angleton · A

#19 Sunrise Rehab And Recovery LLC San Marcos · A

#20 Banyan Texas LLC Waelder · A

#21 Starlite Recovery Center Center Point · A

#22 Rock Springs Georgetown · A

#23 El Paso Behavioral Health System El Paso · A

#24 Texas Health Huguley Forth Worth South Burleson · A

#25 Wtcr Amarillo Amarillo · A

Don't see a name? Search it. Every treatment center has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every treatment center in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About treatment center licensing in Texas

Addiction Treatment Centers in Texas are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS), the government’s own filings, not reviews or advertising.

Frequently asked questions

How many treatment centers are there in Texas?

Texas has 650 active licensed treatment centers on the state's public file, across 195 cities. Every one has a free records layer grade on zReports.

Which Texas city has the most treatment centers?

Houston, with 78 licensed treatment centers, followed by San Antonio (36) and Dallas (36).

How are Texas treatment center grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS), through one fixed rule, applied identically to every treatment center in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever Texas republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of September 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.09 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: September 2026

Cite this report

APA, zReports Research Institute. (2026). Texas Addiction Treatment Center Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/addiction/tx

MLA, zReports Research Institute. “Texas Addiction Treatment Center Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/addiction/tx.

Plain, Texas Addiction Treatment Center Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/addiction/tx

Related research

Addiction Treatment Centers in all states → Houston rankings →San Antonio rankings →Dallas rankings → zReports Data Blog → How the Consumer Z Score™ works →