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 Substance Use Disorder Compliance Unit is responsible for regulating and inspecting NTCs in Texas. HHSC enforces regulations that protect the patient, and ensure compliance with minimum standards and minimize the possibility of narcotic drug diversion. To assist regulatory compliance, HHSC provides copies of statutes, rules and regulations and technical assistance related to statutes, rules and regulations. HHSC maintains a confidential central registry of NTC patients to prevent multiple clinic enrollment. HHSC answers consumer questions, provides information about NTCs and assists 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 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.


Statewide Opioid Treatment Authority (SOTA) Letter (PDF)

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:

License Application

Substance Use Disorder Compliance Forms

Laws and Rules

Texas Laws

Rules and Regulations

Enforcement Actions

Narcotic Treatment Programs Enforcement Actions (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 HHSC 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.

Take a Customer Service Survey

Open Records

There is no specific form for submitting your open records request. Your request must be in writing and may be submitted by mail, fax or email. Include enough description and detail about the information requested so we can accurately identify and locate the information. List your name and mailing address so we can provide you with the requested information. We may also provide you with an itemized statement of charges, if applicable, or notify you if the information you are requesting cannot be provided promptly.

Contact Information

Licensing General Email, Fax, Phone
Phone: 512-438-5448
Fax: 512-834-4514

Licensing Mailing Address
Texas Health and Human Services
Health Facility Licensing
Mail Code 2835
P.O. BOX 149347
Austin, Texas 78714-9347

Mailing Address for Applications with Fees
HHSC AR Mail Code 1470
P.O. Box 149055
Austin, Texas 78714-9055

Compliance Mailing Address
Texas Health and Human Services
Substance Use Disorder Compliance Unit
Mail Code 1979
P.O. BOX 149347
Austin, Texas 78714-9347

Compliance General Email, Fax, Phone
Phone: 512-438-5361 or 512-438-5205
Fax: 512-834-6638
NTP Central Registry:

Enforcement Unit
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