Methadone Clinics in Fresno, California
5 SAMHSA-certified opioid treatment programs operate inside Fresno city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
5 verified clinics in Fresno
Addiction Research AND Treatment IN
Addiction Research AND Treatment IN
Aegis Treatment Centers LLC
Medmark Treatment Centers Fresno WE
Fresno at a glance
543,615
Residents
115.9 sq mi
Land area
32.4
Median age
$66,804
Median household income
6.5%
Uninsured (civilian)
16.3%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for Fresno County
Fresno County reported a model-based drug poisoning death rate of 24.1 per 100,000 residents in 2021 (95% CI 23.1 to 25.1). That sits 15.3% below the national county mean of 28.5 per 100,000.
201916.1
202020.9
202124.1
Three-year change (16.1 to 24.1): +8 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Medium Metro.
Closest methadone clinic to Fresno
Nearest verified opioid treatment program in California: Addiction Research AND Treatment IN in Visalia, about 42.6 miles (68.6 km) from Fresno by straight-line distance. Driving time will run longer.
Why this matters for treatment access
Fresno County reports a 2021 drug poisoning death rate of 24.1 per 100,000, modestly below the national county mean of 28.5. About 6.5% of residents are uninsured. Most clinics in the area accept Medicaid; confirm before scheduling intake. That works out to roughly 35,335 uninsured residents in Fresno alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside California: Addiction Research AND Treatment IN in Visalia, about 42.6 miles from Fresno. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Visalia (1 · 63.6km) Merced (1 · 90.1km) Porterville (1 · 100.7km) Delano (1 · 117.2km) Ceres (1 · 141.3km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Fresno prescribe buprenorphine in office settings. See Suboxone providers in Fresno.
Want a non-opioid alternative? See California Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the California methadone hub.