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Reality House Inc

Outpatient
📍 31-75 23rd Street, Astoria, New York 11106
OutpatientMedicaid
Call 212-281-6004 x400Visit website ↗＋ Compare
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State-licensed provider
Listed in the federal SAMHSA locator

About Reality House Inc

Reality House Inc is a non-profit treatment provider in Astoria, New York, state-licensed and samhsa-certified otp. It provides outpatient care. The center runs programs for young adults, adult women, pregnant/postpartum women and adult men. It accepts Medicaid, Medicare and private insurance, and offers services in Spanish.

Everything below is reported to SAMHSA's federal treatment locator, checked July 2026. Directory records can lag real life — call before you go to confirm the center is still operating and can treat your situation. We list what we can verify and don't publish insurers or prices we haven't confirmed, even where other directories do.

Treatment approaches

Anger managementBrief interventionCognitive behavioral therapyContingency management/motivational incentivesMotivational interviewingRelapse preventionSubstance use disorder counselingTelemedicine/telehealth therapyTrauma-related counseling12-step facilitation

Programs & specialties

Groups this center reports running dedicated programming for:

Young adultsAdult womenPregnant/postpartum womenAdult menSeniors or older adultsVeteransMembers of military familiesCriminal justice (other than DUI/DWI)/Forensic clientsClients with co-occurring mental and substance use disordersClients with co-occurring pain and substance use disordersClients with HIV or AIDSClients who have experienced sexual abuseClients who have experienced intimate partner violence, domestic violenceClients who have experienced trauma

Services & support

Recovery supportSelf-help groups · Housing · Assistance with obtaining social · Recovery coach · Mentoring/peer support · Employment counseling or training
Aftercare & transitionsAftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
Assessment & intakeComprehensive mental health assessment · Comprehensive substance use assessment · Interim services for clients · Outreach to persons in the community · Complete medical history/physical exam · Screening for tobacco use · Screening for substance use · Screening for mental disorders · Professional interventionist/educational consultant
On-site testingDrug and alcohol oral fluid testing · Drug or alcohol urine screening · TB screening
Education & counselingHIV or AIDS education, counseling, or support · Health education services other than HIV/AIDS or hepatitis · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling · Vocational training or educational support (for example, high school coursework, GED preparation, etc.)
Other servicesCase management · Domestic violence services, including family or partner · Mental health · Social skills development · Transportation assistance · Integrated primary care · Suicide prevention
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Understand what Reality House Inc offers

Outpatient rehabDoes Medicaid cover rehab?Medicare coverage for rehabFree rehab optionsRehab for veteransRehab for womenDual diagnosis careHow to choose a rehabWhat to expect in rehabAll centers in AstoriaAll centers in New York

Frequently asked questions about Reality House Inc

Answered from this center's own federal listing — not from marketing copy.

Reality House Inc appears in SAMHSA's federal treatment locator, the U.S. government's official directory of licensed substance-use providers, and reports the following credentials: State-licensed and SAMHSA-certified OTP. You can verify this yourself at findtreatment.gov — we are not affiliated with this center and are not paid by it.

According to its federal listing, Reality House Inc accepts Medicaid (New York Medicaid), Medicare, private insurance, military insurance / TRICARE and self-payment. Coverage details change, so confirm with the center at 212-281-6004 x400 before you rely on it.

We don't publish prices, because no directory can quote you an accurate one — the real cost depends on your coverage, the level of care, and how long you stay. What we can tell you is that Reality House Inc reports free or low-cost options and accepts Medicaid, so a lack of money is not automatically a closed door. Ask them directly what you would pay.

Reality House Inc reports offering Outpatient care. The right level depends on how severe your use is and whether withdrawal needs medical supervision — alcohol and benzodiazepine withdrawal in particular can be dangerous without it.

Its listed treatment approaches include anger management, brief intervention, cognitive behavioral therapy, contingency management/motivational incentives, motivational interviewing and relapse prevention. Evidence-based approaches such as cognitive behavioral therapy, contingency management and motivational interviewing are what research consistently supports — it's fair to ask any center which of these it actually practices.

Yes — Reality House Inc reports dedicated programming for veterans. Veterans may also be eligible for VA-funded substance-use treatment, which is worth checking alongside this center.

Yes — Reality House Inc reports a program for pregnant or postpartum women. Pregnancy makes withdrawal management a medical priority rather than something to tough out alone, so call them before stopping any substance abruptly.

Reality House Inc reports providing services in Spanish. If language is a barrier for you or a family member, ask when you call — it changes how much of the treatment actually lands.