image 98

proudly awarded for six consecutive years from 2020 to 2025

Drug & Alcohol Rehab in Roseville, CA

Gender-Specific Private Residential Rehab for Men and Women

Pathways Recovery is a Joint Commission accredited drug and alcohol rehab in Roseville, CA. We provide substance abuse treatment in Sacramento, CA and across Northern California, serving men and women with gender-specific residential treatment, medical detox, intensive outpatient (IOP), dual diagnosis care, and medication-assisted treatment. Admissions answer 24/7 at (916) 735-8377.

Licensed & Trusted Care

Licensed, Accredited, and Accountable

Choosing a treatment provider means placing trust in the people and programs responsible for your care. Pathways Recovery provides program specific licensing and accreditation information so visitors can review the credentials connected with its services.

image 2026 08 14T034615.934

Licensed Addiction Treatment Provider in California

America’s Best Addiction Treatment Centers 2025!

Accredited By The Joint Commission
Co-Ed Detox Lic# 310023AP
Exp: 10/31/2027

The Pathways Promise

You Deserve to Feel Cared For Not Processed

Choosing treatment is rarely simple. You may be worried about withdrawal, stepping away from work or family, or whether anyone will understand what you are going through.

About Us

Drug Rehab Centers in Northern California Serving Sacramento

Pathways Recovery is a private residential rehab in Roseville, CA, serving Sacramento and surrounding areas. We provide gender specific dual diagnosis care for men and women at a licensed, Joint Commission accredited drug rehab in California. Our continuum of care combines inpatient drug rehab, outpatient programs, and substance abuse treatment in Sacramento CA to support long-term addiction recovery.

Our first goal is to listen, understand what is happening, explain the available options, and help determine whether Pathways may be an appropriate fit. We take time to understand your concerns and goals so you know what happens next.

We listen

We pay attention

We communicate

We respect your privacy

We treat you with dignity

Healing Spaces at Pathways

Explore Our Addiction Treatment Facilities

A comfortable environment can make it easier to rest, participate in treatment, and focus on recovery. Pathways’ residential settings are intended to feel personal and welcoming rather than institutional. Depending on the residence and current availability, the experience may include comfortable common areas, room arrangements, outdoor spaces, meals, and other amenities. Amenities vary by program and should be confirmed before admission. They support the treatment experience, but they do not replace clinical care.

Testimonials

What our clients have to say

Posted on Google Google
Darcy Evans profile picture
Darcy Evans
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I have been treated with dignity and respect. They. Make sure I am taken care at all times.
Posted on Google Google
Sarah Kearney profile picture
Sarah Kearney
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Pathways changed my life! The staff really care about you, thank goodness for them! The food was amazing, even when the chef went heavy on the lentils. It's a beautiful property, complete with a pool and hot tub. They are not punitive, they guide and nurture. Support staff is equally amazing and compassionate. 90 days was not near enough time in paradise. And the curriculum was challenging. I love pathways!
Posted on Google Google
R L profile picture
R L
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Pathways is a very special place. The staff is absolutely wonderful. Everybody I met there was super dedicated and caring as well as knowledgeable and professional. Also, not as important, but I swear the most comfortable bed I’ve ever slept in and pretty tasty food. In addition to great staff and program, the accommodations are very comfortable. I went in feeling so hopeless. I was able to extended my time beyond how long I had intended to stay in treatment, which was great, because it was so beneficial. I left feeling stronger and with a recovery plan and resources. Also, Shelli is awesome!
Posted on Google Google
Akshaya Subramanian profile picture
Akshaya Subramanian
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Pathways Recovery Center truly saved my life. I’m deeply grateful to the counselors - Shelli, Renee, Allie, and Kristen - for their unwavering support and genuine commitment to every client’s recovery. The program offers a thoughtfully structured day, blending evidence-based therapies like DBT and CBT with activities such as yoga, CrossFit, and art therapy. It creates an environment that’s both disciplined and supportive - exactly what early recovery needs. The staff are not only kind, but incredibly knowledgeable, and they meet you with both compassion and accountability. A special thank you to Jen from admissions, whose warmth and empathy made a difficult first call feel safe and possible. If you are serious about getting sober and staying sober, I would absolutely recommend Pathways. It didn’t just help me - it changed my life.
Posted on Google Google
Emily profile picture
Emily
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I was on my last string. I did a Google search and saw Pathways Recovery. I really didn't know what I was getting myself into AND it was out of my insurance network. My phone calls to Pathways were met with compassion, understanding and follow-up. I showed up and I really lucked out. I learned that this was a dual-diagnosis program ... let's get to the core of my addiction. I started in detox. The team was incredible kind, supportive and genuine. From there, I moved into inpatient treatment. The structure, education, meetings, coping skills, tools, individual counseling, therapy meetings, etc ... all by design and extremely beneficial. I can honestly say that I did not meet one staff member that was not caring. That may sound a bit surreal but it's true. I received unsolicited feedback from the majority of who I encountered telling me how much they love their job and their colleagues. That speaks volumes to me ... and it should for you as well. I am showing up for myself again. I am loving myself again. I will attend alumni days, write a review and stay in recovery. Thank you from the bottom of my heart, Pathways Recovery. I could not have done this without you.
Posted on Google Google
Donna Rivers profile picture
Donna Rivers
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I attended attended Pathways in September 2024. The staff at Pathways were compassionate, knowledgable regarding recovery and caring. The groups and individual sessions with my case manager and therapist laid the ground work for my continued soberity (18 months). Thank you!!!
Posted on Google Google
Nathan Coats profile picture
Nathan Coats
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
This treatment center changed my life. 1st one I’ve ever been too & last one I’ll ever need. 100 stars outta 5. Whole staff there is amazing. Most of all Shelly, Justin, & especially Stephen are the best.
Posted on Google Google
Derek Ugland profile picture
Derek Ugland
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Pathways saved my life. I went there broken physically and mentally and left with hope and tools. The medical team was fantastic. Thank you to all of the nurses and staff. The leadership was present and accessible. The case managers were consistent, caring and knowledgeable. The food was great. Although cold, the pool served as a great wake up call in the morning and nightcap. The jacuzzi and outdoor shower were used consistently. The program works if you work it. I would recommend pathways to anybody close to me. The gym and breath work classes are great. Just a really well run, organized and caring environment.
Posted on Google Google
Kyle Wheeler profile picture
Kyle Wheeler
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
There is no way to describe how grateful I am for the team at Pathways for the guidance and support they provided. The amount of care and empathy that was shown by each staff member was unparalleled, and the tools they provided will last a lifetime. Stephen was so much more than just a counselor. He is a mentor, a guiding light, and showed me a way to live and love myself that I had forgotten was possible. Thank you to everyone who helped me along the way and thank you for being a part of my recovery!
Posted on Google Google
Tom profile picture
Tom
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Pathways Recovery Gave Us Our Daughter Back When my daughter showed up at Pathways Recovery, she was drinking 10 Fireballs a day, plus gin. She was completely broken, emotionally, spiritually, and physically. As a parent, it’s heartbreaking to watch your child spiral like that and feel powerless to help. We were desperate for something or someone who could reach her. From the very first phone call, Jennifer in admissions was amazing. She treated us with kindness and compassion, and she made us feel like there was still hope. Getting our daughter admitted felt like the first step toward saving her life. The team at Pathways took her in, detoxed her safely, and showed her a new way to live, a life that doesn’t include alcohol. They didn’t just help her stop drinking; they helped her rediscover herself. They gave her tools, structure, and support to start healing from the inside out. What meant so much to us was how responsive and communicative the staff was. They kept us informed, answered every question, and genuinely cared about our daughter’s well-being. We could feel that she wasn’t just another client, she was someone they truly wanted to help. The facility itself is peaceful and comfortable, a large, beautiful home tucked into the foothills outside Roseville, with a pool and a calm, healing atmosphere. It was the perfect place for her to start over. Thanks to Pathways Recovery, we have our daughter back. She’s sober, she’s grounded, and she’s finally living again. We’ll be forever grateful to Jennifer and everyone at Pathways for helping our family find hope again

The Pathways Difference

Why People Choose Pathways for Drug & Alcohol Rehab

Gender-Specific Small-House Residential

Men and women live and recover in separate small houses, not in a 30-bed mixed facility. The small-house model means 24/7 support, more clinical contact hours, and a recovery community that actually knows your name.

Trauma informed clinical care team and 24/7 support staff

Many people enter treatment carrying underlying trauma, anxiety, depression, or PTSD that drives substance use. Our clinicians treat addiction and co-occurring mental health conditions together rather than separately, with EMDR, CBT, and DBT integrated into every level of care.

Family Inclusion Through Aftercare

Recovery doesn't end at discharge. Family education programming runs through residential treatment, and our alumni program continues after you leave with relapse prevention, community group meetings, and ongoing support for both you and the people who love you.

Have Questions? We're Here to Help You!

Getting started with Pathways Recovery is simple. Reach out to our team to ask questions, discuss treatment options, and find out what admission looks like.

Our Services

Substances We Treat at Our Sacramento Drug Rehab

We treat addiction to alcohol, fentanyl and other opioids, heroin, methamphetamine, cocaine, benzodiazepines (Xanax, Klonopin, Ativan), prescription stimulants (Adderall), and prescription painkillers (Opana, methadone, opiate-based medications). Our Roseville facility offers medical detox followed by gender-specific residential and outpatient care for every named substance.

Treatment Programs

Levels of Care at Our Roseville Addiction Treatment Center

Pathways provides a connected continuum of care, including medical detox, gender-specific residential treatment, intensive outpatient treatment, and aftercare, so you can receive support that matches where you are in recovery. If you are looking for alcohol detox in Sacramento, alcohol rehab in Sacramento, or residential treatment in Northern California, our team can help you understand the level of care that may fit your needs. When appropriate, dual diagnosis care and medication-assisted treatment can also be included as part of a more personalized treatment plan.

our admissions process

What Happens When You Contact Admissions

You do need to know exactly what type of treatment you need before reaching out.
Admissions conversations are handled with discretion and in accordance with applicable privacy requirements.

Reach Out

Our 24/7 admissions team starts by listening to what is happening and answering your immediate questions.

discuss your needs

We can then discuss whether medical detox, residential treatment, outpatient care, or another option may be appropriate.

Verify & Plan

Next we explain practical details such as program location, what to expect, and the insurance benefit verification process.

Begin Your Recovery

Pathways is the right fit for your needs, we’ll guide you through the remaining assessment and admissions steps so you know exactly what comes next.

Our Gender-Specific Treatment Centers

Gender Specific Drug Rehabs in Sacramento

Untitled design 8 1

Residential Treatment Center for Women

Providing care for women in a private gender-specific residential setting.

Untitled design 7

Residential Treatment Center for Men

Providing care for men in a private gender-specific residential setting.

Our Programs

We Offer A Variety of Care Options For All Needs

Medical Detoxification

Safely manage withdrawal under 24-hour clinical supervision at the Roseville Detox Facility. Typical stay 5-7 days.

Inpatient Treatment

Structured residential care with 24/7 support, therapy, and a focused environment for recovery.

Dual-Diagnosis

Integrated treatment for co-occurring substance use and mental health conditions: anxiety, bipolar disorder, depression, PTSD.

Intensive Outpatient (IOP)

Therapy and group programming several times per week. You can live at home or in sober housing while attending.

Medication Assisted Treatment (MAT)

Evidence-based medications combined with therapy to reduce cravings and support long-term recovery.

See All Our Programs

Healing Begins at Pathways

Dual Diagnosis Treatment Centers Northern California, Sacramento Rehab

For many people, substance use and mental health concerns such as anxiety, bipolar disorder, depression, or PTSD can feel closely connected. Pathways Recovery provides dual diagnosis treatment in Northern California that looks at both together, with care shaped around your individual needs. When appropriate, treatment may include psychiatric support, CBT, and DBT to help you feel understood, supported, and more confident in your recovery.

Insurance Accepted

Verify your insurance coverage for treatment at Pathways Recovery today!

1aetna 2
Cigna Logo PNG Transparent.png
insurance kaiser permanente
insurance bcbs
Anthem Inc. Logo 1 scaled 1

Have Any Questions?

Frequently Asked questions

Yes in most cases. Pathways Recovery works with Aetna, Cigna, Kaiser Permanente, Blue Cross Blue Shield, Anthem, and most other major commercial plans. Verify benefits by phone or through the form on this page, with no obligation to admit.

Pathways treats alcohol, opioids including fentanyl and heroin, benzodiazepines (Xanax, Klonopin, Ativan), methamphetamine, cocaine, prescription stimulants like Adderall, and prescription painkillers like Opana and methadone. Each treatment plan is built around your history, substance use, and clinical needs.

We offer a full continuum of care: medical detox, gender-specific residential inpatient treatment, partial hospitalization (PHP), intensive outpatient (IOP) including an evening track, and medication-assisted treatment (MAT). Dual diagnosis care is integrated at every level for co-occurring mental health conditions like anxiety, bipolar disorder, depression, and PTSD.

Medical detox is the first step in many treatment plans. It safely removes drugs or alcohol from the body while managing withdrawal symptoms under 24-hour clinical supervision. Detox typically lasts 5 to 7 days at the Roseville Detox Facility before stepping into residential treatment.

Residential treatment at Pathways typically lasts 30 to 90 days, depending on individual needs and clinical recommendation. Medical detox runs about 5 to 7 days before stepping into residential. IOP continues for about 6 weeks after residential discharge.

Yes. Pathways offers integrated dual diagnosis treatment for substance use disorders alongside anxiety, bipolar disorder, depression, PTSD, and other mental health conditions, treated together rather than sequentially.

Aftercare and our alumni program keep you connected to recovery through continued individual therapy, relapse prevention planning, alumni group meetings, and community support resources. The transition from residential to outpatient to alumni is built into every treatment plan.

In many cases, yes. Detox admissions can often happen the same day after a phone screening and benefits verification; residential admissions usually happen within 24-72 hours depending on bed availability and clinical assessment. Call (916) 735-8377 for an immediate intake conversation.