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  • Opioid Treatment Services

    Are You Struggling With an Addiction?

    Treatment Services— or (253) 649-1406.

    MedsFirst—(253) 649-1638.

    Billing/Insurance— or (253) 649-1626.

    Medicaid— or (253) 649-1642.

    We can help you.

    Are you ready to start your path toward recovery? Our medications for opioid use disorder provide hope and support.

    Patient-centered services

    • Medications for opioid use disorder.
    • Substance use disorder treatment. Includes outpatient mental health help.
    • Group and individual counseling.
    • Ongoing care and follow-up.
    • Education.
    • Resource and referrals.


    • Dosing—Monday through Friday, 5-11:30 a.m. and Saturday, 5-8:30 a.m.
    • Clinic—Monday through Friday, 5 a.m.-2:30 p.m.


    Walk in to the lower level of Tacoma-Pierce County Health Department and ask for services.

    Naloxone (Narcan)

    If you or people around you use opioids, always carry naloxone. We offer free naloxone kits at our office. Naloxone (Narcan) is an easy-to-administer nasal spray. Our staff provide a short training so you can be prepared for an emergency. You’ll know how to stop the effects of an opioid overdose and save a life. We don’t require ID or documentation. Come to the south entrance (Pacific Ave.) Monday-Friday, 8 a.m.-noon.

    If you are part of an agency seeking naloxone, email

    Download naloxone flyer.


    Get Help Early, Get Help Often

    It’s okay to ask for help. Start here with these great resources:

    Crisis line: 
    (800) 273-8255
    Veterans: Press 1
    Text: 741741.

    Trans Lifeline:
    (877) 565-8860

    Trevor Project (LGBTQ): 
    (866) 488-7386

    Safer homes. Suicide aware.

    If you believe someone is having a life-threatening crisis, call 911.

    Opioid Treatment Services FAQs

    Learn about getting started.

    The Addiction Treatment Forum has lots of details.

    Learn about Methadone details and safety

    Yes! We have openings now. 

    You can take these steps:

    1. Pick-up a packet at our front office. To save time, you can fill out these forms and bring them with you: PRE-ADMIT HANDOUTFIRST CONTACT FORM
    2. You need a letter from the doctor who prescribes your opiates. This is called a documentation of addiction..
    3. You must leave a urine sample.


    You can contact Ruby Fierroz at or (253) 649-1406.

    Usually about 2 weeks, but don’t let that stop you from contacting us. There is always a chance to come in as a standby.

    For more details, you can contact Ruby Fierroz at or (253) 649-1406.

    Our Methadone Program is long-term. It is NOT a detox program. Some of our patients have been on the clinic for many years (2-20). It is based on your needs. The length of time can vary dramatically.

    Payment Options

    • Medicaid
    • Cash
    • Insurance*

    NOTE: Some exclusion may apply.

    *Check with your insurance plan (Kaiser, Aetna, Cigna, Premera, etc.) to see if we are included in your network or can be added to your benefits.

    For more details, you can contact Ursula Bradford at or (253) 649-1626.

    It is for clients who have activities like school or work in the morning. It allows you to receive your medication, leave a UA or see clinicians.

    If qualified, we will give you a card once a quarter that allows you to fast track the lines. You can check in for urinalysis and dosing between 5-6:30 a.m.

    Our program offers supportive mental health help.

    This includes:

    • Group therapy.
    • Individual therapy.
    • Case management. This includes referrals for crisis intervention and referrals for psychiatric medication management.

    We are not a certified mental health evaluation center. Our services do not include Mental Health Evaluations, as required by the court or any other supervised program.

    We do not supply this service,. We do offer referrals, including psychiatric care.