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
OutpatientDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VASelf-pay
About Four Rivers Behavioral Health
A private, non-profit rehabilitation center offering full outpatient support for adults dealing with substance use and mental health conditions.
Services reported to SAMHSA
- Levels of care
- Outpatient
- Treatment focus
- Substance use treatment · Mental health treatment · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults
- Facility type
- Community mental health center
- Medications used
- Haloperidol · Aripiprazole · Asenapine · Brexpiprazole · Cariprazine · Clozapine · IIoperidone · Lurasidone · Olanzapine · Olanzapine/Fluoxetine combination · Paliperidone · Quetiapine · Risperidone · Ziprasidone · Nicotine replacement · Antipsychotics used in treatment of SMI
- Treatment approaches
- Cognitive behavioral therapy · Dialectical behavior therapy · Eye Movement Desensitization and Reprocessing therapy · Group therapy · Integrated Mental and Substance Use Disorder treatment · Individual psychotherapy · Telemedicine/telehealth therapy
- Education and counseling
- Smoking/vaping/tobacco cessation counseling
- Special programs
- Seniors or older adults · Clients with co-occurring mental and substance use disorders · Clients who have experienced trauma · Persons with post-traumatic stress disorder (PTSD) · Persons 18 and older with serious mental illness (SMI)
- Ages accepted
- Young Adults · Adults · Seniors
- Payment accepted
- County or local government funds · Community Mental Health Block Grants · Community Service Block Grants · Medicare · Medicaid · Federal military insurance (e.g., TRICARE) · Other State funds · Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid · State mental health agency (or equivalent) funds
- Ownership
- Private non-profit organization
- Recovery support
- Mentoring/peer support
- Other services
- Assertive community treatment · Assisted Outpatient Treatment · Court-ordered outpatient treatment · Supported employment · Integrated primary care services · Suicide prevention services
Facility-provided information
- Care offered
- Outpatient · Co-Occurring Mental Health
- Substances treated
- Co-Occurring Disorders · Drug Addiction
- Conditions treated
- Trauma
- Therapies
- 1-on-1 Counseling · Cognitive Behavioral Therapy · Family Therapy · Group Therapy · Life Skills · Medication-Assisted Treatment · Online Therapy · Relapse Prevention Counseling · Trauma-Specific Therapy
- Who it serves
- Men · Women · Young Adults
- Aftercare
- Continuing Care · Employment Counseling · Intensive Outpatient Program · Outpatient Treatment · Support Meetings
- Languages
- English
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?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- 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. 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, TRICARE / VA, 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, Dual diagnosis. Call to confirm current services and openings.
Does Four Rivers Behavioral Health accept insurance?
It reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, 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
OutpatientMATMethadone (OTP)MedicaidMedicarePrivate insuranceSelf-pay
Call (270) 443-0096Details
425 Broadway Street, Paducah, KY 42001
OutpatientIntensive outpatientMATDual diagnosisMedicaidMedicarePrivate insuranceSelf-pay
Details
3127 Parisa Drive, Paducah, KY 42003
OutpatientMATMedicaidMedicarePrivate insuranceTRICARE / VA
Call (888) 858-1723Details
2806 Morgan Ln., Paducah, KY 42001
Residential
Call (270) 448-0961Details
5050 B Village Square Drive, Paducah, KY 42001
OutpatientDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VA
Call (270) 534-5128Details
2327 New Holt Road, Paducah, KY 42001
OutpatientDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VA
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.