Four Rivers Behavioral Health
Also known as Center for Specialized Addiction Servs
Address: 425 Broadway Street, Suite Lower Level, Paducah, KY 42001 · Map
Website: 4rbh.org
OutpatientIntensive outpatientMATDual diagnosisMedicaidMedicarePrivate insuranceSelf-pay
Services reported to SAMHSA
- Levels of care
- Intensive outpatient treatment · Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults
- Opioid treatment
- Accepts clients using MAT but prescribed elsewhere
- Treatment approaches
- Brief intervention · Cognitive behavioral therapy · Motivational interviewing · Matrix Model · Relapse prevention · Substance use disorder counseling · Telemedicine/telehealth therapy · Trauma-related counseling · 12-step facilitation
- Education and counseling
- Substance use disorder education · Individual counseling · Group counseling
- Special programs
- Pregnant/postpartum women · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients who have experienced trauma
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Federal, or any government funding for substance use treatment programs · Medicare · Medicaid · Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid · SAMHSA funding/block grants
- Licensing and accreditation
- State substance use treatment agency · State mental health department · Commission on Accreditation of Rehabilitation Facilities (CARF)
- Ownership
- Private non-profit organization
- Recovery support
- Self-help groups · Housing services · Assistance with obtaining social services · Mentoring/peer support · Employment counseling or training
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education
- Other services
- Mental health services · Social skills development · Transportation assistance · Suicide prevention services
- Language services
- Sign language services for the deaf and hard of hearing
Questions to ask Four Rivers Behavioral Health
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- Which medications do you prescribe (buprenorphine, methadone, naltrexone), and can I continue a medication I already take?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by Kentucky (this facility reports accreditation). If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Four Rivers Behavioral Health
Four Rivers Behavioral Health reports accepting Medicaid, Medicare, Private insurance, Self-pay. With Kentucky Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Frequently asked questions
What services does Four Rivers Behavioral Health offer?
Four Rivers Behavioral Health reports these levels of care to SAMHSA: Outpatient, Intensive outpatient, MAT, Dual diagnosis. Call to confirm current services and openings.
Does Four Rivers Behavioral Health accept insurance?
It reports accepting Medicaid, Medicare, Private insurance, Self-pay. Ask whether your specific plan is in network before admission.
Where is Four Rivers Behavioral Health located?
425 Broadway Street, Paducah, KY 42001.
How far is the nearest medical detox from Paducah?
From the center of McCracken County, the closest program offering medical detox is in Anna, about 44 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Paducah
2705 Olivet Church Road, Paducah, KY 42001
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Call (270) 443-0096Details
425 Broadway Street, Paducah, KY 42001
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2327 New Holt Road, Paducah, KY 42001
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Call (270) 534-5128Details
See all 20 facilities in Paducah · Residential · Outpatient · Intensive outpatient · MAT · Accepts Medicaid · Accepts Medicare
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.