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Richmond, Virginia

Full-ServiceOpioidTreatmentinRichmondWithouttheStigma

Help that meets you where you are, with no lectures and no shame.

  • 24/7/365

    Confidential support

  • Same-day

    Appointments available

  • Most insurance

    Accepted & verified

  • CARF accredited

    Outpatient care

Local care

Fentanyl Addiction Treatment close to home
in Richmond.

From intake forward, our Richmond opioid treatment program is built around your history, your goals, and the full support you need to recover.

Crossroads is committed to serving Richmond and communities throughout Virginia. We serve patients across Richmond city County and the nearby communities. That includes Petersburg, Fredericksburg, Suffolk, and Manassas and other nearby Virginia towns. A Crossroads center is located right in Richmond. Crossroads operates 19 centers across Virginia.

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We understand

What you are facing
and what you get.

We understand what you are facing

  • Withdrawal from potent opioids is severe enough to drive people back to using.
  • Long waits for an intake appointment give addiction time to win.
  • Fentanyl has made using more dangerous than ever, and quitting alone is increasingly deadly.
  • Stigma keeps people from a program that could save their life.

What you get at Crossroads

  • A confidential, respectful team that treats you with dignity every visit.
  • A full program: medication, counseling, and case management in one place.
  • A confidential, respectful team that treats you with dignity.
  • Careful induction designed for today's high-potency fentanyl and heroin.
Why us

Why people choose Crossroads

Your care is private and protected under federal 42 CFR Part 2 confidentiality law.

We pair FDA-approved medication with counseling, the combination research shows works best for opioid recovery.

Crossroads has helped tens of thousands of patients across nine states reclaim their lives since 2005.

  • Care continues for as long as you need it, with no rushed timelines.
  • Follow-up visits are quick and respectful of your time.
  • Most patients speak with a provider within 10 minutes of calling.
  • Our team handles the insurance paperwork so you can focus on recovery.
  • Care continues by phone and telehealth so you stay supported between visits.
Provider consulting with a patient in an outpatient clinic
Learn more

Treatment details
for Richmond.

In-depth answers to the questions people search before they call.

01

Treating Mental Health Alongside Addiction

Many patients only realize how much their mental health drove their substance use once they begin to address both together. That insight can be a genuine turning point. Your team in Richmond helps you understand those connections and build coping skills that protect both your sobriety and your peace of mind.

For many people, substance use and mental health are deeply connected. Anxiety, depression, trauma, and chronic stress can fuel addiction, and addiction can deepen them in return. Crossroads treats the whole person, which means addressing mental health alongside opioid use disorder rather than ignoring it. When both are cared for together, recovery becomes far more stable and far more lasting.

Your care team in Richmond takes your emotional wellbeing seriously and helps connect the dots between how you feel and how you cope. Counseling provides space to work through underlying struggles, and your provider can coordinate additional support when it is needed. Treating the root causes, not just the symptoms, is how real, durable recovery is built.

02

Personalized Fentanyl Addiction Treatment at Crossroads Richmond

As your life and your recovery change, your plan changes with them. Your provider adjusts your medication and your level of support based on how you are doing, not on a fixed timeline. This flexibility is part of what makes treatment work. You are treated as a whole person with a unique story, because that is exactly what effective addiction care requires.

Two people with the same diagnosis can need very different care, and Crossroads in Richmond is built to provide it. Your work schedule, your family responsibilities, your other health conditions, and your personal goals all shape the plan we build with you. Treatment that ignores those realities rarely lasts; treatment that honors them tends to.

You are an active partner in your own care, not a passive recipient of it. Your provider explains the options and works with you to choose what fits your life in Richmond, then revisits those choices as you progress. A plan you understand and believe in is a plan you are far more likely to follow.

03

Safe, Closely Monitored Medication in Richmond

If you ever feel something is off with your medication in Richmond, your team wants to hear about it right away. Open communication is a safety feature, and no concern is too small to raise. The goal of fentanyl addiction treatment is steady, sustainable recovery, and that only happens when your medication is managed carefully every step of the way.

Safe fentanyl addiction treatment in Richmond includes regular monitoring, which may involve check-ins and, when appropriate, lab work to make sure your treatment is working as intended. This is routine medical care, not a sign of distrust. Watching closely is simply how good providers keep your medication both effective and safe.

Before and during treatment, your Richmond provider screens for interactions between your medication and anything else you take, including over-the-counter products and supplements. Many dangerous combinations are easy to avoid once they are known. That careful review is one of the clearest reasons to be in supervised care.

04

How Medication-Assisted Treatment Works

The evidence behind MAT is overwhelming: patients on medication are far more likely to stay in treatment and far less likely to overdose. At Crossroads in Richmond and throughout Virginia, that is exactly why we lead with it. This is simply modern medicine applied to a medical condition, delivered by clinicians who specialize in addiction care.

Medication-assisted treatment, or MAT, combines FDA-approved medication with counseling and behavioral support. The medication eases withdrawal symptoms and reduces the cravings that make recovery so difficult, while counseling helps you rebuild the routines and coping skills that keep you well. Decades of research show this combined approach is the most effective way to treat opioid use disorder, which is why it is the standard of care at Crossroads in Richmond and across Virginia.

MAT is not trading one addiction for another, a myth that keeps too many people from getting help. Under the care of a provider, these medications stabilize your brain chemistry so you can think clearly, hold a job, and reconnect with the people you love. Your dose is carefully managed and adjusted as your recovery progresses, always with your safety and your long-term goals in mind.

05

What Fentanyl Addiction Treatment Costs in Richmond and How We Help

Whatever your financial situation in Richmond, we encourage you to reach out before assuming care is out of reach. Coverage options change, assistance exists, and our team would rather help you find a way than see cost turn you away. The first step is a conversation, and that conversation is always free.

Beyond Medicaid and commercial plans, Crossroads in Richmond works with Medicare, Medicare Advantage, TRICARE, and VA coverage. If you are unsure what your plan includes, our team can check for you before your first visit. Knowing your coverage up front removes one more source of stress from getting started.

We believe in being straight with you about money. In Richmond, you will get a clear explanation of any costs before they happen, with no surprise fees buried in the fine print. Treatment is hard enough without financial anxiety, so we keep the cost side as transparent as the care itself.

06

Whole-Person Fentanyl Addiction Treatment at Crossroads Richmond

Whole-person care means we look beyond the prescription to your mental health, your relationships, your stability, and your goals. Crossroads in Richmond connects these pieces so your recovery is supported from every angle. Treating the whole person, not just the symptom, is what makes progress durable.

Evidence-based care is not static; it improves as the science does. Crossroads in Richmond updates its practices as research advances, so your treatment reflects current understanding rather than outdated habits. Choosing care that keeps learning means choosing care that keeps getting better at helping you.

The combined approach Crossroads uses, medication plus counseling, is associated with higher treatment retention and lower overdose risk than medication or counseling alone. That is why fentanyl addiction treatment in Richmond leads with it. Your care is built on what the evidence shows actually keeps people alive and well.

07

The Difference Experience and Compassion Make

Crossroads has spent nearly two decades helping people reclaim their lives from opioid and substance use disorders, serving tens of thousands of patients across nine states since 2005. That experience shapes everything we do, from how quickly we get you in the door to how carefully we tailor your care. We combine medical expertise with genuine compassion, because both are essential to recovery.

Our staff includes counselors, medical providers, and peer specialists who genuinely want to see you succeed. Recovery here is a team effort, and you are the most important member of it. When you walk into Crossroads in Richmond, you join a community that has helped tens of thousands of people before you.

Experience, compassion, and accessibility rarely come together in addiction care, but in Richmond they do. Crossroads pairs serious clinical expertise with the kind of warmth that makes people feel safe enough to stay in treatment. That combination, sustained over nearly twenty years, is what has helped so many people get well.

08

Your First Steps Toward Fentanyl Addiction Treatment in Richmond

If you are nervous about that first call, know that the person on the other end has heard every kind of story and judges none of them. Their only goal is to get you the care you need. You can ask anything, share as little or as much as you like, and take the next step in Richmond entirely at your own pace.

Getting started with fentanyl addiction treatment in Richmond does not require having insurance, a referral, or all your questions answered first. One call sets everything in motion, and our team handles the rest. The system is built to remove obstacles, not add them, so the decision to seek help is the hardest part you face.

Because timing matters so much in addiction care, Crossroads in Richmond works to see new patients quickly, often the same or next day. When someone is ready, a long wait can cost them that readiness. We treat your decision to reach out as urgent, because we know how much courage it took.

09

Recognizing Triggers and Managing Cravings in Richmond

Part of preventing relapse is honestly identifying your high-risk situations, the specific people, places, feelings, and times of day that put you at risk. Your Richmond counselor helps you map these clearly so they lose their power to surprise you. What you can see coming, you can plan for.

If a setback does happen, it does not erase your progress, and it does not mean treatment failed. Crossroads in Richmond meets returning patients with the same compassion as the first day, helping you learn from the moment and keep moving forward. The path of recovery is rarely a straight line, and we walk it with you regardless.

A strong recovery has structure, so your Richmond team helps you build routines, goals, and supports that crowd out the space addiction used to fill. When your days have purpose and your needs are met in healthy ways, the pull toward use grows weaker. Recovery becomes something you live, not just something you maintain.

10

Recovery Without Putting Your Life on Hold

There is no need to explain a long absence to an employer or arrange weeks away from your family. Treatment in Richmond fits into the margins of your day, which means you are far more likely to actually follow through with it. Recovery that works with your life, rather than against it, is recovery you can genuinely sustain.

Outpatient care also makes recovery sustainable. Instead of an intense program that ends abruptly, you build a steady relationship with a care team that supports you for as long as you need. Visits become shorter and less frequent as you stabilize, and telehealth options fill the gaps in between. For most people in Virginia, this is the realistic, livable path to long-term recovery.

One of the biggest barriers to treatment is the fear of putting life on hold. Crossroads fentanyl addiction treatment in Richmond is fully outpatient, which means you receive care without checking into a facility or stepping away from your responsibilities. You keep working, parenting, attending school, and sleeping in your own bed. Appointments are scheduled around your life, so recovery becomes part of your routine rather than an interruption to it.

11

You Do Not Have to Face Withdrawal Alone

The fear of withdrawal stops many people from seeking help, but it does not have to. A central goal of fentanyl addiction treatment is to ease withdrawal symptoms and cravings so the early days of recovery are as comfortable and manageable as possible. Your provider in Richmond uses proven medication to stabilize you quickly, reducing the physical distress that makes quitting on your own so difficult and so dangerous.

Once the physical symptoms ease, your mind clears enough to engage with the rest of treatment. That is the real purpose of comfortable withdrawal management: not just relief, but a stable starting point. Your team in Richmond keeps you steady through those first days so the real work of recovery can begin.

Trying to detox alone is not only miserable, it can be genuinely dangerous. Under medical care in Richmond, withdrawal becomes something to be managed rather than feared, with medication that takes the sharpest edges off the process. That difference is often what allows people to get through early recovery instead of giving up.

Ready when you are

Speak with someone about Richmond treatment today

Confidential. No pressure. A real person answers 24/7.

Medications

Medications available in Richmond

MethadoneA daily medication that reduces cravings and withdrawal
Methadone is taken once daily at our clinic. It works by reducing withdrawal symptoms and cravings so your body can stabilize. It has been used safely and effectively to treat opioid use disorder for decades.
Suboxone®A combination medication that eases withdrawal and blocks opioid effects
Suboxone contains buprenorphine and naloxone. It reduces withdrawal symptoms and cravings while also blocking the effects of other opioids. It is typically taken as a film that dissolves under the tongue.
Sublocade®A once-monthly injectable option for consistent dosing
Sublocade is a monthly injection of buprenorphine administered by your care team. It removes the need for daily medication management — one appointment a month keeps your treatment on track.
Brixadi®A flexible injectable buprenorphine available weekly or monthly
Brixadi is an injectable form of buprenorphine that can be administered weekly or monthly depending on your treatment plan. It offers flexibility and consistent medication levels without daily dosing.
Vivitrol®A monthly injection that blocks opioid effects entirely
Vivitrol is a monthly naltrexone injection that works by blocking the effects of opioids. It contains no opioids itself and is a strong option for patients who have already completed withdrawal and want ongoing protection against relapse.
Your journey

How it works

Three steps to start outpatient care at a Crossroads clinic near you.

  1. 1

    Step 01

    Call or start Instant Intake®

    Speak with a provider in as little as 10 minutes.

  2. 2

    Step 02

    Get a personalized treatment plan

    Built around your life, your history, and your goals.

  3. 3

    Step 03

    Begin outpatient care

    Start treatment at our clinic on your schedule.

Coverage

Insurance & cost in Richmond

We work hard to make care for fentanyl addiction treatment affordable in Richmond. Accepted coverage includes:

  • Medicaid
  • Medicare
  • Medicare Advantage
  • TRICARE
  • VA CCN
  • Most commercial insurance
  • Self-pay options available
FAQ

Richmond Fentanyl Addiction Treatment FAQ

What is an fentanyl addiction treatment?
An opioid treatment program, or OTP, is an accredited program that provides medication such as methadone or buprenorphine, plus counseling, for opioid use disorder. In Richmond, Crossroads delivers this in an outpatient setting.
How quickly can I start in Richmond?
Often the same day or next day. Call and our Richmond-area team will help you begin intake and assessment right away.
What is the difference between an OTP and a regular clinic?
An opioid treatment program is federally accredited to dispense medications like methadone on-site along with counseling. Our Richmond program meets those higher standards of care.
Does insurance cover the program in Richmond?
Yes. We accept Medicaid, Medicare, TRICARE, VA CCN, most commercial insurance, and self-pay.
Does the Richmond clinic accept Medicaid?
Yes. We accept Medicaid, Medicare, Medicare Advantage, TRICARE, VA CCN, most commercial insurance, and offer self-pay options. Our team handles the insurance conversation for you.
What should I bring to my first visit?
Bring a photo ID and your insurance card if you have one. If you are uninsured, our team will review affordable self-pay and assistance options with you.
Next step

Ready When You Are, Richmond

Call now and take the first step toward recovery with a team that has your back.

  • No appointment fees
  • HIPAA confidential
  • Same-day starts
  • Available 24/7/365