1500 Broadway
1500 Broadway, Buffalo, NY 14212
Terrace House
Also known as Residential Stabilization
Address: 291 Elm Street, Floors 1 and 2, Buffalo, NY 14203 · Map
Phone: (716) 854-2444
Website: horizon-health.org
About Terrace House
Terrace House, which is part of Horizon Health Services in Buffalo, New York, supports people dealing with substance use disorder through continuous, medically supervised inpatient detox and stabilization. The center addresses co-occurring mental health conditions and provides individualized care through one-on-one counseling, group therapy, and family counseling.
The 68-bed residential detox and stabilization program is staffed by a multidisciplinary team with professional training in mental health and substance use counseling, offering structured, whole-person assistance. Clients receive medication and therapeutic services while also working with vocational and educational counseling. Where appropriate, Terrace House coordinates involvement of family and community support systems and develops aftercare plans to help clients move smoothly to the next stage of treatment.
The stabilization program is designed for individuals who are not in acute withdrawal but still require supportive residential services. It includes 24/7 medical oversight and a range of therapeutic options, such as family sessions, individual counseling, and group therapy. Additional components include educational groups, wellness activities, recovery coaching, and referrals or connections to aftercare resources.
Services reported to SAMHSA
- Levels of care
- Residential/24-hour residential · Residential detoxification · Short-term residential
- Treatment focus
- Substance use treatment · Detoxification · Treatment for co-occurring disorders plus serious mental illness (SMI) in adults
- Detox services
- Alcohol Detoxification · Benzodiazepines Detoxification · Cocaine Detoxification · Methamphetamines detoxification · Opioids detoxification · Medication routinely used during detoxification
- Opioid treatment
- Buprenorphine detoxification · Buprenorphine maintenance · Prescribes buprenorphine · Prescribes naltrexone · Relapse prevention with naltrexone · Accepts clients using MAT but prescribed elsewhere · Lofexidine or Clonidine detoxification · Maintenance service with medically supervised withdrawal after stabilization
- Medications used
- Acamprosate (Campral®) · Disulfiram · Buprenorphine with naloxone · Buprenorphine without naloxone · Buprenorphine (extended-release, injectable) · Naltrexone (oral) · Naltrexone (extended-release, injectable) · Lofexidine · Clonidine · Medication for mental disorders · Nicotine replacement · Non-nicotine smoking/tobacco cessation
- Treatment approaches
- Brief intervention · Cognitive behavioral therapy · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Trauma-related counseling · Telemedicine/telehealth therapy · 12-step facilitation
- Education and counseling
- HIV or AIDS education, counseling, or support · Hepatitis education, counseling, or support · Health education services other than HIV/AIDS or hepatitis · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling · Family counseling · Vocational training or educational support (for example, high school coursework, GED preparation, etc.)
- Special programs
- Young adults · Adult women · Pregnant/postpartum women · Adult men · Seniors or older adults · Veterans · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with HIV or AIDS · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · 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 · Federal military insurance (e.g., TRICARE) · Private health insurance · Cash or self-payment
- Payment assistance
- Sliding fee scale (fee is based on income and other factors)
- Licensing and accreditation
- State substance use treatment agency
- Ownership
- Private non-profit organization
- Recovery support
- Self-help groups · Housing services · Assistance with obtaining social services · Recovery coach · Mentoring/peer support · Employment counseling or training
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
- Other services
- Case management service · Mental health services · Transportation assistance · Integrated primary care services · Suicide prevention services
Facility-provided information
- Care offered
- Detox · Residential Rehab · Co-Occurring Mental Health
- Substances treated
- Benzodiazepines · Chronic Relapse · Co-Occurring Disorders · Cocaine · Drug Addiction · Heroin · Methamphetamine · Prescription Drugs · Synthetic Drugs
- Conditions treated
- Anger · Perinatal Mental Health · Trauma
- Therapies
- 1-on-1 Counseling · Cognitive Behavioral Therapy · Dialectical Behavior Therapy · Family Therapy · Group Therapy · Life Skills · Online Therapy · Trauma-Specific Therapy · Twelve Step Facilitation
- Approaches
- Evidence-Based · Family Involvement · Individual Treatment · Medical · Twelve Step
- Who it serves
- LGBTQ+ · Men · Men and Women · Older Adults · Veterans · Women · Young Adults
- Aftercare
- Continuing Care · Discharge Planning · Employment Counseling · Mentoring and Peer support · Recovery Coach · Support Meetings
- Languages
- English
Questions to ask Terrace House
- Is my specific plan in network, and do you need prior authorization before admission?
- Do you provide medical detox on site, and how many days does it usually last?
- How long is the typical residential stay, and can family visit?
- 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?
Also confirm the facility is licensed by New York. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Terrace House
Terrace House reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Sliding scale, Self-pay. With New York 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. A sliding fee scale is available, so bring proof of income.
Distance to specialized care from Buffalo
Measured from the population center of Erie County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Buffalo, about 1.6 miles
- Nearest methadone clinic (OTP): Buffalo, about 3.1 miles (10 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Buffalo, about 1.3 miles (44 within 25 miles)
See the Erie County treatment map, methadone clinics near Erie County and Suboxone doctors near Erie County.
Frequently asked questions
What services does Terrace House offer?
Terrace House reports these levels of care to SAMHSA: Detox, Residential, MAT, Dual diagnosis. Call to confirm current services and openings.
Does Terrace House accept insurance?
It reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Sliding scale, Self-pay. Ask whether your specific plan is in network before admission.
Where is Terrace House located?
291 Elm Street, Buffalo, NY 14203.
How far is the nearest medical detox from Buffalo?
From the center of Erie County, the closest program offering medical detox is in Buffalo, about 1.6 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Buffalo
Baker Hall
790 Ridge Road, Buffalo, NY 14218
Beacon Center
295 Main Street, Buffalo, NY 14203
Beacon Center
3354 Sheridan Drive, Buffalo, NY 14226
Beacon Center Buffalo
295 Main Street, Suite 105, Buffalo, NY 14203
BestSelf Behavioral Health
1050 Niagara Street, Buffalo, NY 14213
See all 91 facilities in Buffalo · Detox · Residential · Outpatient · MAT · Methadone · Accepts Medicaid
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.