Apple Valley Counseling Services LLC
611 West A Street, Yakima, WA 98902
Sundown M Ranch
Also known as Diagnostic And Outpatient Services
About Sundown M Ranch
Nestled in a picturesque ranch environment, Sundown M Ranch offers rehabilitation services for individuals grappling with substance use disorders and accompanying mental health issues. The facility is designed to house 100 adults and 60 adolescents for residential programs, while outpatient services cater to 30-50 clients at any given time. Typically, adults stay for around 20 days, whereas adolescents may remain for up to 45 days. Sundown M Ranch employs a range of evidence-based methodologies, including cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing (MI), as well as individual and group therapy, equine-assisted therapy, family counseling, and medication-assisted treatment (MAT). The center also offers classes that cover parenting skills, life skills, and educational programs for adolescents. A dedicated team of over 150 staff members maintains a client-to-staff ratio of 2:1. Sundown M Ranch holds CARF accreditation and accepts a variety of major insurance plans.
Spanning 35 acres, the campus includes buildings with private accommodations and shared bathrooms. Facilities feature a lecture hall, conference room, and a spacious 7,000 square foot gym equipped with basketball and volleyball courts. Meals are provided cafeteria-style in a large dining area and are crafted by a nutrition expert to ensure clients receive balanced diets.
Services reported to SAMHSA
- Levels of care
- Residential/24-hour residential · Intensive outpatient treatment · Regular outpatient treatment · Short-term residential
- Treatment focus
- Substance use treatment
- Opioid treatment
- Accepts clients using MAT but prescribed elsewhere
- Treatment approaches
- Brief intervention · Cognitive behavioral therapy · Contingency management/motivational incentives · 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
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Children/Adolescents · Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- IHS/Tribal/Urban (ITU) funds · Medicaid · Private health insurance · Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency · State department of health · Commission on Accreditation of Rehabilitation Facilities (CARF)
- Ownership
- Private non-profit organization
- Recovery support
- Self-help groups · Housing services
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
- Other services
- Social skills development
Facility-provided information
- Care offered
- Detox · Outpatient · Co-Occurring Mental Health
- Substances treated
- Alcohol · Benzodiazepines · Co-Occurring Disorders · Cocaine · Drug Addiction · Ecstasy · Heroin · Marijuana · Methamphetamine
- Conditions treated
- Anxiety · Depression · Trauma
- Therapies
- 1-on-1 Counseling · Dialectical Behavior Therapy · Equine Therapy · Group Therapy · Motivational Interviewing · Twelve Step Facilitation
- Approaches
- Evidence-Based · Gender-Specific · Individual Treatment · Twelve Step
- Who it serves
- Adolescents · Men · Women
- Amenities
- Access to Nature · Basketball Court · Business Center · Fitness Center · Volleyball Court
- Languages
- English
Questions to ask Sundown M Ranch
- Is my specific plan in network, and do you need prior authorization before admission?
- How long is the typical residential stay, and can family visit?
- 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?
- 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 Washington (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 Sundown M Ranch
Sundown M Ranch reports accepting Medicaid, Private insurance, Self-pay. With Washington 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.
Distance to specialized care from Yakima
Measured from the population center of Yakima County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Yakima, about 6.7 miles
- Nearest methadone clinic (OTP): Yakima, about 6.8 miles (1 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Yakima, about 6.7 miles (8 within 25 miles)
See the Yakima County treatment map, methadone clinics near Yakima County and Suboxone doctors near Yakima County.
Frequently asked questions
What services does Sundown M Ranch offer?
Sundown M Ranch reports these levels of care to SAMHSA: Residential, Outpatient, Intensive outpatient, MAT. Call to confirm current services and openings.
Does Sundown M Ranch accept insurance?
It reports accepting Medicaid, Private insurance, Self-pay. Ask whether your specific plan is in network before admission.
Where is Sundown M Ranch located?
2280 State Route 821, Yakima, WA 98901.
How far is the nearest medical detox from Yakima?
From the center of Yakima County, the closest program offering medical detox is in Yakima, about 6.7 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Yakima
Barth Clinic
201 East Lincoln Avenue, Yakima, WA 98901
Comprehensive Healthcare
505 South 4th Avenue, Yakima, WA 98902
Comprehensive Healthcare
307 West Walnut Street, Yakima, WA 98902
MERIT Resource Services
315 North 2nd Street, Yakima, WA 98901
Neighborhood Connections
102 South Naches Avenue, Yakima, WA 98901
See all 37 facilities in Yakima · Detox · Residential · Outpatient · Intensive outpatient · MAT · 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.