Alamo City Treatment Services

Alamo City Treatment Services provides outpatient substance abuse treatment for adults in San Antonio and the surrounding Bexar County region. The outpatient program model is designed for people who need structured clinical support while maintaining their day-to-day lives — whether that means staying in a sober living home, returning to family, or managing work and other obligations in parallel with treatment.

Outpatient care can serve as a primary treatment setting or as a step-down from residential treatment, making it a versatile option within a broader recovery plan. The program's extended hours — including Tuesday evenings until 9pm and Saturday appointments — reflect a scheduling structure built around the realities clients actually face, not an idealized treatment calendar.

A significant share of people seeking substance abuse treatment are also living with unaddressed trauma or a co-occurring mental health condition. Alamo City Treatment Services explicitly treats both co-occurring disorders and trauma and PTSD within its outpatient program, using Cognitive Behavioral Therapy (CBT) as its primary clinical framework. CBT is a structured, skills-focused approach that helps clients understand how thought patterns shape behavior — an especially useful tool for people managing both addiction and trauma simultaneously.

Treating these conditions together within a single outpatient program matters for long-term recovery outcomes. Clients who receive integrated care for dual diagnosis conditions are better positioned to sustain progress after formal treatment ends, reducing the likelihood of cycling back through repeated acute care episodes.

The center works with a notably diverse range of people: veterans, young adults ages 18 to 25, seniors and older adults, men, women, and individuals referred through the court system. This breadth means the program has clinical experience navigating the specific pressures and histories that different populations bring to outpatient treatment — from the service-related trauma many veterans carry to the distinct challenges facing court-ordered participants building accountability into their recovery plans.

Financial accessibility is built into the program's structure. Alamo City Treatment Services accepts private insurance, self-pay and cash, state insurance, and offers a sliding scale fee option. For people in San Antonio who need outpatient addiction treatment but face economic constraints, the sliding scale in particular provides a meaningful path to consistent care without delays tied to insurance approval.

Alamo City Treatment Services is located at 2903 Nacogdoches Road, Building 6, San Antonio, TX 78217. The center can be reached by phone at (210) 541-8400 or by email at [email protected]. Office hours run Monday through Friday from 10am to 5pm, with extended Tuesday hours until 9pm and Saturday hours from 9am to 5pm.

For residents of San Antonio and nearby counties who are weighing outpatient options as part of a longer recovery plan, the center's combination of dual diagnosis treatment, CBT, flexible scheduling, and broad population experience makes it a practical starting point for a conversation about what ongoing recovery support can look like.