Toiyabe Indian Health Project Family Services Department

For people in Inyo and Mono Counties, finding accessible addiction treatment without leaving home has historically meant traveling hundreds of miles. Toiyabe Indian Health Project's outpatient program in Bishop, CA changes that equation. As a primary care clinic, Toiyabe integrates substance use treatment within a broader health system — meaning that a person's recovery care, behavioral health support, and chronic disease management can be coordinated in one place rather than scattered across providers.

The outpatient model is well-suited for individuals who have completed a higher level of care and are building their long-term recovery, as well as those whose circumstances make community-based treatment the right fit from the start. Remaining connected to family, community, and daily routine while engaging in structured substance abuse treatment is a core strength of outpatient recovery — and in a close-knit region like the Eastern Sierra, that community connection carries particular weight.

Toiyabe Indian Health Project takes an approach that most outpatient clinics in the region simply cannot replicate: pairing traditional cultural practices with western medicine treatment modalities. For many individuals — particularly those from indigenous communities — seeing their cultural identity reflected in their care is not a secondary consideration. It is central to what makes treatment feel meaningful and sustainable over the long term.

This framework also speaks to the clinic's commitment to treating the whole person. Conditions like pre-diabetes, renal disease, and chronic illness frequently co-occur alongside substance use, and Toiyabe's structure as a full-service primary care clinic means those health concerns are not set aside during recovery. A full-service pharmacy on the Bishop campus ensures that participants can access medications without navigating additional referrals or travel.

Toiyabe Indian Health Project's outpatient program specifically serves adolescents and elders — life stages where the intersection of substance use, mental health, and cultural identity is especially complex. Adolescents in recovery benefit from early intervention in an environment that connects clinical care with cultural grounding. Elders navigating substance use alongside chronic illness require a level of integrated care that a standalone addiction clinic rarely provides.

The clinic accepts a wide range of payment sources, including Medicaid, Medicare, private insurance, TRICARE, state insurance, and self-pay. Appointments and walk-in access are available Monday through Saturday from 8 a.m. to 5 p.m. at 250 North See Vee Lane in Bishop, CA. Patients can also manage their care through an online patient portal. To learn more or schedule an appointment, call (760) 873-6394 or visit toiyabe.us.

Toiyabe's behavioral health services sit inside a primary care system — not alongside it as an afterthought. That distinction matters for people in longer-term recovery who are also managing mental health conditions or physical health challenges. Rather than navigating separate providers with separate records and separate care teams, participants at Toiyabe can have their recovery monitored within the context of their full health picture.

The clinic's dialysis center and pharmacy on the Bishop campus underscore just how comprehensive this facility is relative to its size and rural setting. For Eastern Sierra residents working toward sustained recovery, this level of integrated care represents a genuine community resource — one that serves the region across generations and health needs.