Narcotic Treatment Centers

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About Narcotic Treatment Clinics

Narcotic Treatment Clinics are specialized medical clinics that treat patients addicted to heroin or other opiates. Patients are prescribed maintenance or medically supervised withdrawal doses of methadone or buprenorphine. Confidentiality of patient identity is protected by Federal law. NTCs are required to provide or offer referrals to patients for the following: social and human services, mental health services, educational and vocational services, family counseling, and HIV/AIDS counseling, prevention, and risk-reduction education.

The Narcotic Treatment Section of the Patient Quality Care Unit is responsible for regulating and inspecting NTCs in Texas. Currently, there are 75 NTC maintenance programs that treat approximately 11,000 opiate-addicted patients. NTC Listing is list of currently licensed NTCs. The NTC Listing has the names, addresses, and phone numbers of NTCs by city. We enforce regulations to protect the patient, to ensure that minimum standards are met for the operation of the NTC, and to minimize the possibility of diversion of narcotic drugs outside the treatment setting. To assist in the enforcement of regulations, we provide copies of statutes, rules, and regulations related to NTCs, and provide assistance to NTCs with interpreting and complying with the regulations. We maintain a confidential central registry of NTC patients to prevent multiple enrollment. We also answer consumer questions, provide information about NTCs, and assist patients in locating a clinic in their area.

Currently, two narcotic drugs are approved for the treatment of opiate addiction, methadone and buprenorphine. Both are long-acting opiate drugs that do not generate the euphoria of an opiate (i.e. heroin, hydrocodone), but do reduce the symptoms of opiate withdrawal. These drugs can be given daily. Numerous scientific studies have shown that treatment of opiate addiction with methadone or buprenorphine combined with counseling and other rehabilitative services:

  • Improves individual functioning.
  • Facilitates the patient's attempts to make a positive lifestyle change.
  • Reduces the amount of illicit drug use.
  • Reduces the rates of criminal activity associated with opiate addiction.
  • Reduces the incidence of health consequences of intravenous opiate addiction, such as bacterial infections, tuberculosis, hepatitis B and C, HIV, and sexually transmitted diseases.
  • Reduces joblessness.

Find or Verify a Licensee


Narcotic treatment clinics seeking licensure must complete the Narcotic Treatment Program Application & Status Report (PDF) in order to be considered for a new license, a renewal of license, or for a change in status.

Once the application form in completed, the following requirements must be satisfied before a license application may be considered:

  • A license application fee of $1000 must be included with the application.
  • Mail the application to:
    DSHS - Narcotic Treatment Section
    1100 West 49th St.
    Austin, Texas 78756
  • Apply for and obtain a Federal permit from SAMHSA/CSAT, Division of Pharmacotherapy.
  • Apply for and obtain a Federal permit from DEA/Diversion Control.

Laws and Rules

Enforcement Actions

Narcotic Treatment Programs Enforcement Actions, June 2018 – June 2019 (PDF)

Inspection of Facilities

All NTCs must be inspected at least once a year. During these inspections, the Narcotic Treatment section ensures that the NTCs comply with state and federal regulations.

  • Patients admitted for treatment have a history of addiction and current physiologic addiction to opiates.
  • Adequate documentation of a patient's treatment history is obtained.
  • Counseling services are being provided.
  • Medical services are being provided.
  • Counselors and medical personnel are documenting and reviewing patient progress.
  • Referral services are provided to those patients that require them.
  • Drug screening for illegal substances is performed as required.
  • Annual screenings for tuberculosis are performed.
  • Efforts are being made to prevent dual enrollment.
  • The facility has adequate security for the drug stocks.
  • All doses of narcotic drug dispensed are logged and inventories maintained.
  • The NTC is maintaining contact with DSHS whenever questions or problems arise.

Complaints and Investigations

We also investigate complaints where personal injury or significant violations of the regulations have occurred. Each complaint forwarded to us is thoroughly investigated to ensure that the NTC is complying with state and federal regulations.

Contact Information

Mailing Address
Texas Health and Human Services
Substance Abuse Compliance and Narcotic Treatment Program (MC 1979)
P.O. Box 149347
Austin, Texas 78714-9347


Phone Numbers

  • Narcotic Treatment Facility Licensing - 512-834-6600, ext - 2016 or 2118
  • Narcotic Treatment Program - 512-834-6700 ext. 2146

Fax Numbers

  • Narcotic Treatment Facility Licensing - 512-834-4514
  • Narcotic Treatment Program - 512-834-6638

Enforcement Unit

Toll-Free: 888-973-0022
Phone: 512-834-6634
Fax: 512-834-6623

Mailing Address:
Texas Health and Human Services
Regulatory Services Division, Enforcement Unit
P.O. Box 149347
Austin, Texas 78714-9347