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The Northwest Indian Treatment Center

308 East Young, Elma, Washington, 98541
Northwest Indian Treatment Center serves a primarily Native American population, providing residential substance abuse treatment services. Treatment options aim to resolve chronic relapse issues by focusing on unresolved trauma and grief underlying addiction. NWITC treatment services incorporate traditional, religious ceremonies and cultural activities designed to heal mind, body and spirit.

Facility Highlights

  • Native Arts
  • Native Medicines
  • Drumming


  • Holistic Therapy

    Facilities that offer “holistic therapy” see and treat patients in the context of their entire lives and health status. They treat the “whole person,” not just the addiction.
  • Residential Treatment

    Residential treatment programs provide housing (food and meals) in addition to treatment for substance abuse. Some facilities offer only short-term residential treatment, some offer only long-term treatment and others offer both, ranging from a few days to many months, based on patient needs.

Facility Settings

  • Average Location/Amenities

Financial Details

  • Some Financing Available

Treatment Center Links

Rehabs 360 Guide


Located in Elma, Wash. and founded by the Squaxin Island Tribe in 1994, the Northwest Indian Treatment Center (NWITC) offers a serene recovery environment. It is one of the 64 (16.2 percent) of Washington treatment facilities that provides residential treatment. Services are primarily for Native American clientele from Washington, Oregon, and Idaho.

It also operates an outpatient program in Kamilche, Wash., 25 miles northeast of the residential facility. NWITC does not offer detox services, but clients may receive medical attention through nearby Indian Healthcare Service clinics.


To be admitted to the treatment program at Northwest Indian Treatment Center, clients must be referred to treatment and complete an assessment packet to determine the appropriate level of care. The residential program lasts 45 days.

This center specializes in treating clients dealing with chronic relapse resulting from unresolved grief or trauma. The treatment center is one of the 139 (35.1 percent) of Washington facilities that offer programs for individuals with co-occurring disorders.

There is a faith-based and cultural-based component to treatment as the facility makes ample use of cultural traditions and ceremonies, including singing, drumming, storytelling, and native craft making. Residents can also learn about traditional foods and medicine through several on-site gardens. Since it holds that spirituality is a part of successful recovery, NWITC provides sweat lodge ceremonies as well as Shaker and other church services.

The facility also offers on-site 12-step meetings. Clients are expected to contribute to community activities including working in the facility’s garden. Recreational activities are available to promote physical wellbeing and development alongside spiritual and mental treatments.

Upon completion of the residential program, many clients use the outpatient program as a step-down service. Referrals to sober living facilities and other community-based programs are also available.


The treatment team consists of a counselors and a nurse. The treatment team has experience with the spiritual and cultural aspects of treatment, as well as accreditations for programming components.

The Northwest Indian Treatment Center is one of the 70 (17.7 percent) of Washington treatment facilities that is accredited by CARF.


Northwest Indian Treatment Center is a 28-bed facility set on a 2.5 acre campus, with separate buildings for spiritual meetings and educational classes. There are also three teaching gardens on the grounds.


The six alumni reviews at the time of this writing were positive, and indicated they would recommend The Northwest Indian Treatment Center. Three alumni polled by Rehabs.com gave four out of five star ratings or higher for most metrics, including holistic offerings, staff support, and staff level of training and experience.

Alumni reviewers appreciated the holistic nature of the program, noting many of the Native American-centered therapies as strengths. All alumni gave maximum five-star ratings for its holistic offerings. “The only center I've been to that helped me to learn how to recover my mind, body, spiritual,e motional and social aspects of myself,” alum Camden wrote.

Secondary sources reveal overwhelmingly positive feedback. The 11 individuals who left Google Reviews gave an average of 4.8 out of five stars, and mostly positive commentary. Individuals praised the treatment treatment, and the center's overall effectiveness. "North West Indian treatment center was the best I love it it got me on Right track thank you all for the help," one alum wrote in a representative review. [1]

To date, the 36 individuals who left reviews on its unofficial Facebook page gave an average of 4.9 out of five stars, and mostly positive feedback. Alumni called the center great. "This place is amazing and helped me find out who I am when I'm sober... I would recommend this place to anyone who's serious about getting clean and sober," an alum wrote on Facebook. [2]


Rehabs.com has only received one review from a family member who was critical of NWITC’s family programming and said they would not recommend the facility. “My problem with this program is there is no family support...It is so wrong not to offer support and information and guidance to the family left at home,” loved one J.G. wrote.


According to the facility’s brochure, the cost of treatment (not including medical expenses) is $165 per day, and financial support may be available on a case-by-case basis. In addition, two alumni surveyed by Rehabs.com also indicated they paid for treatment through state/federal insurance or private insurance.

[1] GoogleReviews
[2] https://www.facebook.com/pages/Northwest-Indian-Treatment-Center/146306872091476?fref=ts

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