One campus in a suburb rather than a city center, carrying a stay from supervised withdrawal through to the plan for afterwards. That is the short version of Promises Dallas-Fort Worth, and the rest of this page fills it in.
The campus is in Lewisville, Texas. Its own campus page cards medical detox, inpatient rehab, inpatient rehab for mental health, a virtual intensive outpatient program offered to Texas residents, and aftercare planning [9] [10], and those are the only levels this page asserts for it. Each gets its own section below. So do the setting, the certifications, the specialist tracks and the shape of an ordinary day. If you are weighing settings in general, start with our levels of care guide. If cost is the first question, see what rehab costs.
Where Promises Dallas-Fort Worth is, and what Lewisville, TX is actually like
Lewisville sits in Denton County, northwest of Dallas, inside the wider Dallas-Fort Worth metro area rather than out past it.
That location does two practical things. It keeps the admission drive short for most of North Texas, and that drive is the journey worth planning, because the campus publishes that Promises Dallas-Fort Worth does not currently offer in-person visitation [10]. It also keeps the step down simple: the campus’s intensive outpatient program runs virtually for Texas residents [9] [10], so stepping down does not mean finding a new provider.
The setting is suburban and residential rather than hospital-like. The campus describes a structured residential setting with spaces to relax, recharge and connect with peers, on-site meals, a gym and walking paths, and comfortable common areas.
People arrive here from well beyond the metro area, so expect a mix in your groups. The campus page has the site detail, and our directory of campuses lists the others we run.
The levels of care this campus actually offers
The levels below are carded on this campus’s own page, and most people use several of them in sequence rather than picking one.
Medical detox handles supervised withdrawal. Inpatient rehab treats you while you live on site, and inpatient rehab for mental health is carded alongside it. The intensive outpatient program cuts the hours so work can resume, and the campus runs it virtually, for Texas residents [9]. Aftercare planning is the handover that decides whether the rest of it holds. If you need a level that is not on that list, admissions will tell you which campus in the family runs it — that is a question for the call rather than something to infer from a page.
Federal research describes a wider continuum of settings across the treatment system as a whole, running from the lightest levels through to inpatient and residential care, and notes that people may need long-term or repeated episodes of care [1]. Which of those a given campus runs is a separate question, answered by that campus’s own page.
Medication belongs across the ladder rather than at one rung. For opioid use disorder, methadone, buprenorphine or naltrexone is standard care, usually with counseling [1]. Approved medications exist for alcohol and tobacco use disorders too [1]. See our medication assisted treatment page. Our guide to insurance coverage for rehab covers what plans pay for.
Accreditation, licensing and what they mean
The campus’s own page describes Promises Dallas-Fort Worth as a Joint Commission-accredited residential treatment center for addiction and mental health [9]. Ask on the call what else it holds, by name, and when each was last reviewed. Our guide to choosing a rehab facility sets out what each credential covers.
Medical detox at Promises Dallas-Fort Worth
Supervised withdrawal is a medical service with a narrow job: get you through the risky window safely.
It opens with an assessment. After that it runs on monitoring. Observations on a schedule, symptom scoring, and medication where the picture calls for it. For alcohol withdrawal, federal clinical guidance names benzodiazepines as the medication class of choice, given under supervision [3].
Timelines differ by substance, and federal guidance gives them drug by drug rather than for opioids as a class. Heroin withdrawal typically begins 8 to 12 hours after the last heroin dose and subsides within a period of 3 to 5 days [3]. Methadone runs on a longer clock at both ends: it typically begins 36 to 48 hours after the last dose, peaks after about 3 days, and gradually subsides over a period of 3 weeks or longer [3].
What it does not do is treat the disorder. Detoxification on its own, with no treatment afterwards, generally leads back to use [2]. So the plan moves straight into the next level here. It does not end at discharge. Our medical detox page covers the stage.
Treatment at Promises Dallas-Fort Worth in Texas
Promises Dallas-Fort Worth is in Lewisville, Texas, and its own page cards medical detox, inpatient rehab, inpatient rehab for mental health, a virtual intensive outpatient program for Texas residents, and aftercare planning. Which level fits is settled at assessment.
Check your coverage and admissions
Verify your insurance
Promises Dallas-Fort Worth is part of our family of treatment centers. See the Promises Dallas-Fort Worth campus.
Residential treatment at Promises Dallas-Fort Worth
This is where most of the clinical work happens, and it means living on campus with structured hours every weekday.
Federal guidance puts residential programs at a few weeks to a few months. Longer stays are available where they are clinically needed [1]. Length here is a clinical decision, reviewed as you go. It is not a package chosen at admission.
Days are built around group work, individual therapy and case management. The approaches are the ones federal research names as evidence-based: cognitive behavioral therapy, contingency management, motivational enhancement and 12-step facilitation [1].
The less obvious benefit is routine. Sleep, meals and a predictable day are usually the first casualties of heavy use. They are also among the first things treatment rebuilds. Our inpatient rehab page describes the level generally.
On the shape of an ordinary day, the campus’s own what-to-expect page is the authority. It says that daily schedules vary with each patient’s treatment plan, clinical needs and level of care, and that treatment may combine evidence-based clinical programming with activities meant to support overall wellness and recovery. Depending on the schedule and on what is clinically appropriate, that can include yoga, art and expressive therapies, exercise in the fitness center, indoor recreation, or light outdoor movement in the courtyard.
So the honest answer about your own week is that admissions can describe the current shape of it and a page cannot. Ask on the call, and ask what changes between levels of care.
Aftercare planning at Promises Dallas-Fort Worth
Aftercare planning is the part of a stay that decides what the rest of it was worth, and it is built during treatment rather than at the door.
A usable plan names four things: the next level of care and when it starts, who prescribes any continuing medication, which peer support you will attend, and what you do on a bad night.
The reason it matters is in the federal data. Studies have found that half to three quarters of people with substance use disorders who receive withdrawal management services do not go on to enter treatment [4]. The gap between stages, not the stages themselves, is where people are lost.
Federal guidance is also explicit that some people need long-term or repeated episodes of care [1], so a plan that assumes one clean pass through is the wrong shape to build.
The intensive outpatient program at Promises Dallas-Fort Worth
Intensive outpatient thins the schedule again so that work, study or caring responsibilities can restart. At this campus the level is delivered virtually: its own site calls it a virtual intensive outpatient program [9], and its what-to-expect page publishes it as virtual intensive outpatient treatment for Texas residents [10].
Federal sources put this level at two to five days a week over a few months [4]. It sits as continuing care after the more intensive stages.
The content shifts as well as the hours. Group work turns toward relapse prevention and practical problem solving. It deals with the specifics of your week rather than the foundations.
Expect a plan for setbacks rather than a promise against them. Our outpatient rehab page explains the level.
Treating a mental health condition alongside substance use
Co-occurring conditions are common, and this campus publishes a dual diagnosis treatment service of its own rather than handling that side by referral.
The national picture makes the case. Around 40 percent of people with a substance use disorder also had a diagnosed mental disorder in the preceding year [4]. Only 6.8 percent of them got treatment for both conditions [4].
The campus describes that work in whole-person terms, naming group counseling, mindfulness and family therapy among the services meant to restore balance and connection. What it looks like week to week, and who carries the psychiatric side, are fair questions for the admissions call rather than things to infer from a page.
Two cautions belong in the first conversation. Withdrawal can imitate depression or anxiety and then lift, so an early diagnosis is provisional. Some conditions only surface once substance use stops. The plan has to stay revisable.
Specialist tracks, and the VA route
Whether this campus runs anything built specifically around military or emergency-service experience is a question for the admissions call. The brand’s site-wide navigation names that kind of work across the whole family of centers, and a navigation link is not evidence about any one site. Ask directly, and ask what it would mean week to week.
Grouping people with similar service backgrounds changes what gets said, which is why the question is worth asking. Nobody has to explain the context of a call or a deployment before getting to the point.
Veterans have a second route running in parallel. The Department of Veterans Affairs covers substance use treatment inside its own system [5]. That includes medically managed withdrawal, medications such as methadone and buprenorphine, outpatient counseling, intensive outpatient and residential care [5]. Veterans who served in a combat zone can also get counseling and a substance use assessment at a Vet Center at no cost [5].
Ask admissions how a stay here fits with VA enrollment before committing to either.
Publicly funded treatment in Texas, and how to reach it
If the benefits check goes badly, Texas funds treatment alongside the private campuses, and the routes in are worth knowing before you need them.
Texas Health and Human Services names the adult substance use services it funds: withdrawal management services, intensive and supportive residential treatment, outpatient treatment, and medication-assisted treatment [8]. The same agency points people to their local mental health or behavioral health authority, and to outreach, screening, assessment and referral services [8].
For a crisis it lists four routes: the 988 Suicide and Crisis Lifeline, dial 9-8-8; the Veterans Crisis Line, dial 9-8-8, option 1; Texas 2-1-1, dial 2-1-1, option 8; and a 24/7 local mental health authority crisis hotline for substance use and other crisis services [8].
Our rehab process page covers the arc of treatment, and our admissions process page covers getting in.
Frequently Asked Questions
What levels of care does Promises Dallas-Fort Worth offer? Its own campus page cards these: medical detox, inpatient rehab, inpatient rehab for mental health, a virtual intensive outpatient program offered to Texas residents, and aftercare planning. Most people move through more than one, stepping down as they stabilize rather than choosing a single level at admission. If you need a level that is not on that list, admissions will say which campus in the family runs it.
Does Promises Dallas-Fort Worth take my insurance? The campus says it works with most major insurance carriers, naming Aetna, Ambetter, Blue Cross Blue Shield, Cigna and United, and that private pay options exist where coverage is limited. Network participation varies by plan and product line inside one carrier, so the benefits check against your own policy is what settles it. The campus’s admissions team runs that verification with your insurer.
Can family visit or call someone at Promises Dallas-Fort Worth? The campus says in-person visitation is not currently available, and that virtual family sessions can be arranged by phone or Microsoft Teams with your primary therapist. Confidentiality is a separate question: staff will not confirm you are there, or discuss anything, unless you have signed a release naming the person and the information or the regulation itself permits the disclosure, because federal rules protect substance use treatment records.
How does admission to Promises Dallas-Fort Worth work? It starts with a confidential conversation with the admissions team, which the campus says can be done over the phone, with insurance verified at the same time. The intake team asks a series of questions to review your needs and determine the right level of care. After verification an advocate recommends a program and helps set an admission date, and can assist with travel arrangements, though the campus says it does not pay for travel.
Where is Promises Dallas-Fort Worth and who is it for? Lewisville, Texas, in Denton County northwest of Dallas and inside the wider Dallas-Fort Worth metro area. It suits people who want supervised withdrawal and the treatment that follows in one place, and families who expect to take part by phone or video rather than in person. If you want a group built around military or emergency-service experience, ask admissions what this campus runs.
Sources
- National Institute on Drug Abuse. (2025). Treatment. National Institutes of Health. https://nida.nih.gov/research-topics/treatment
- National Institute on Drug Abuse. (2020). Drugs, Brains, and Behavior: The Science of Addiction — Treatment and Recovery. National Institutes of Health. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/treatment-recovery
- Center for Substance Abuse Treatment. (2006). Detoxification and Substance Abuse Treatment, Chapter 4: Physical Detoxification Services for Withdrawal From Specific Substances. Treatment Improvement Protocol (TIP) Series, No. 45. Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64116/
- Office of the Surgeon General. (2016). Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health — Chapter 4. U.S. Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424859/
- U.S. Department of Veterans Affairs. (2026). Substance Use Problems. VA Health Care. https://www.va.gov/health-care/health-needs-conditions/substance-use-problems/
- Office of the Federal Register. (2026). 42 CFR Part 2 — Confidentiality of Substance Use Disorder Patient Records. Electronic Code of Federal Regulations. https://www.ecfr.gov/current/title-42/chapter-I/subchapter-A/part-2
- Legal Information Institute. (2026). 42 CFR § 2.13 — Confidentiality restrictions and safeguards. Cornell Law School. https://www.law.cornell.edu/cfr/text/42/2.13
- Texas Health and Human Services. Mental Health and Substance Use. https://www.hhs.texas.gov/services/mental-health-substance-use
- Promises Dallas-Fort Worth. (2026). Promises Dallas-Fort Worth — Levels of Care and Accreditation. Advanced Recovery Systems. https://www.promisesdfw.com/alcohol-addiction-treatment/
- Promises Dallas-Fort Worth. What to Expect at Promises Dallas-Fort Worth: Family and Support Visits. The Recovery Village. https://www.therecoveryvillage.com/facilities/what-to-expect-promises-dallas-fort-worth/
- Promises Dallas-Fort Worth. Residential Treatment: Can family members visit during treatment?. https://www.promisesdfw.com/addiction-treatment-services/residential-treatment/
This page is for general information and is not medical advice. Only a licensed clinician who knows your history can tell you what is right for you. If you or someone you know is in immediate danger, call 911. For free, confidential support 24/7, call or text 988.
Author
Chief Medical Officer,
The Recovery Village
