Promises Behavioral Health

What Promises Behavioral Health does

Promises Behavioral Health is a private, nationwide operator of addiction and mental health treatment centers headquartered in Brentwood, Tennessee. The company runs 20+ branded facilities spanning Tennessee, Pennsylvania, Texas, Massachusetts, Georgia, Florida, New Jersey, Ohio, Indiana, Missouri, Colorado, Washington, Oregon, and Maryland under multiple brand families — The Ranch (TN/PA), The Right Step Houston, Washburn House, Promises Brazos Valley/Atlanta/Dallas-Fort Worth, The Recovery Village (across 10+ markets), Orlando Recovery Center, and the IAFF Center of Excellence. All centers are accredited by The Joint Commission, with additional NIH and SAMHSA accreditations.

The company delivers the full continuum of behavioral health care: 24/7 medically supervised detox, residential inpatient treatment, partial hospitalization and intensive outpatient programs (PHP/IOP), and ongoing alumni support. Treatment is built around evidence-based modalities including medication-assisted treatment (buprenorphine, naltrexone, methadone), trauma-informed care, dual diagnosis integration, EMDR, CBT, DBT, equine therapy, art therapy, neurofeedback, and TMS. Specialized programming targets licensed professionals and executives, first responders (via the IAFF Center of Excellence), and gender-specific cohorts. Patient acquisition runs through a 24/7 recovery hotline (888.483.7451), a comprehensive website with insurance-verification landing pages, social media, PBH University webinars, and a clinical professional referral channel.

Promises generates revenue primarily by billing major national insurance providers for individualized treatment plans, with self-pay options for uncovered patients; pricing is quote-based and varies by diagnosis, length of stay, and specialized services. No founding date, ownership structure, funding rounds, executive team, or revenue figures are disclosed in source materials.

Name

Promises Behavioral Health

Legal name

Promises Behavioral Health

Website

https://promises.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

51–100 employees

Short description

Promises Behavioral Health is a private, nationwide network of 20+ accredited addiction and mental health treatment centers offering medical detox, residential, outpatient, and dual diagnosis care across 14+ U.S. states, serving individuals, professionals, and first responders via insurance and self-pay billing.

Ownership category

akta.pro rank

Product category

Addiction and Behavioral Health Treatment Services

NAICS

Residential Mental Health and Substance Abuse Facilities (62322), Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Nursing & Personal Care Facilities (8050), Services-Health Services (8000)

akta.pro primary industry

Residential Substance Use Rehabilitation (Inpatient Rehab) (HLAFACAE)

akta.pro secondary industries

Substance Use Detoxification Centers (Medical Detox) (HLAFACAD), Peer Support, Recovery Coaching & Sober Living Services (HLAFACAN)

Keywords

• Addiction treatment services
• Behavioral health treatment
• Substance abuse rehabilitation
• Dual diagnosis treatment
• Mental health programs

Headquarters

HQ city

Spicewood

HQ country

United States

HQ region

North America

Offices21 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others

Revenue model

1. Insurance-Based Treatment Revenue: Promises Behavioral Health generates revenue primarily through billing insurance providers. The organization works with most major national insurance providers. Treatment costs vary based on clinical diagnosis, length of treatment, and specialized services required. The admissions team handles insurance verification and works to maximize coverage.
2. Self-Pay Treatment Revenue: For patients without adequate insurance coverage, out-of-pocket payment options are available. Cost varies by level of care needed, program length, and specialized services.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels7 records

Core offering

Promises Behavioral Health operates a nationwide network of accredited addiction and mental health treatment centers that deliver evidence-based care across medical detox, residential, and outpatient levels of service. The company treats substance use disorders (opioids, alcohol, stimulants, benzodiazepines, methamphetamine) and co-occurring mental health conditions (depression, anxiety, PTSD, bipolar disorder, personality disorders, trauma) through medication-assisted treatment, dual diagnosis programs, and a broad portfolio of therapeutic modalities. Patients are admitted via a 24/7 admissions hotline with free insurance verification, and ongoing support is delivered through an alumni network and continuing care plan.

Product overview

Promises Behavioral Health is a nationwide network of addiction and mental health treatment centers offering a comprehensive, integrated system of care. The portfolio includes medical drug detox, residential treatment, and outpatient programs (PHP/IOP) as core service tiers, supported by specialized therapy programs including CBT, DBT, EMDR, equine therapy, art therapy, family therapy, and experiential modalities. The organization operates multiple treatment center brands across multiple states including The Ranch (TN/PA), The Right Step Houston, Washburn House, Promises Brazos Valley, Promises Atlanta, Promises Dallas-Fort Worth, and The Recovery Village network. Additional services include dual diagnosis treatment for co-occurring disorders, gender-specific programs, professional-specific programs, non-12 step alternatives, alumni support, and insurance verification assistance.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Drug Detox 24-hour medical monitoring for patients withdrawing from drug and alcohol use, focusing on safety and comfort until mental stabilization. For adult patients needing supervised withdrawal management.
• Residential Treatment Inpatient treatment programs offering 24/7 care in modern facilities with amenities where clients dedicate their full time to healing from substance use and co-occurring disorders.
• Outpatient Treatment Flexible treatment options including partial hospitalization programs (PHP), intensive outpatient programs (IOP), and continuing care groups for patients transitioning out of residential care or needing less intensive support.
• Addiction Therapy Programs Comprehensive suite of therapy offerings including 12 Step Groups, Art Therapy, Cognitive-Behavioral Therapy, Dialectical Behavior Therapy, EMDR, Equine-Assisted Psychotherapy, Family Therapy, Group Therapy, Individual Therapy, Motivational Interviewing, Yoga Therapy, Massage Therapy, and Grief Counseling. Bundled into the residential and outpatient programs at all Promises centers.
• Dual Diagnosis Treatment Integrated treatment for co-occurring substance use disorders and mental health conditions addressed simultaneously in a single unified treatment plan.
• Mental Health Treatment Treatment programs for anxiety disorders, depression, mood disorders, personality disorders, trauma and PTSD, gambling addiction, and sex addiction, offered across residential and outpatient settings.
• Non-12 Step Programs Alternative recovery programs offering effective treatment for patients who prefer non-12 step approaches to addiction recovery.
• Drug Rehab for Professionals Specialized treatment programs designed for licensed professionals, executives, and high-profile clients requiring confidential, upscale, peer-level addiction care.
• Men's and Women's Addiction Treatment Gender-specific treatment programs addressing the unique recovery needs of men and women, including separate tracks for Christian men and women with mental health disorders.
• Family Therapy Program Family therapy services including strategic family therapy, functional family therapy, solution-focused brief therapy, behavioral couples therapy, and virtual family therapy options for families of patients in recovery.
• Alumni Support Program Lifelong support system including alumni groups, alumni events, Facebook communities, and ongoing social and emotional support for recovery maintenance after completion of primary treatment.
• The Ranch TN (Nunnelly, Tennessee) Nature-focused treatment center in Nunnelly, Tennessee offering evidence-based therapies and medical detox in a rural setting. Patients can be admitted through the Promises admissions process.
• The Ranch PA (Wrightsville, Pennsylvania) Treatment center in Wrightsville, Pennsylvania specializing in dual diagnosis treatment for co-occurring mental health and substance use disorders.
• The Right Step Houston Inpatient drug rehab in Houston, Texas offering individualized treatment plans combining medication-assisted treatment with counseling for substance use disorders.
• Washburn House (Worcester, Massachusetts) Clinical drug rehab center in Worcester, Massachusetts emphasizing evidence-based care and compassionate support for safe detox and transition to recovery.
• Promises Brazos Valley (College Station, Texas) Full-spectrum addiction services center in College Station, Texas with medical detox and medication-assisted treatment alongside behavioral therapies.
• Promises Atlanta

Quantifiable outcome

• Reduced relapse rates with medication-assisted treatment combined with behavioral therapy and recovery resources
• +1 more outcomes

Segments7 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Scale indicators3 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• American Addiction Centers: Large publicly traded operator of residential and outpatient SUD treatment facilities across the U.S. Directly comparable multi-state network with insurance-based revenue model, similar marketing-driven admissions approach, and overlapping brand portfolio (e.g., The Recovery Village, River Oaks, Greenhouse).
• Hazelden Betty Ford Foundation: Leading nonprofit SUD treatment provider with residential, outpatient, and extended care programs. Comparable in continuum of care, evidence-based modality range, and alumni network; differs in nonprofit ownership and academic/research orientation.
• CRC Health Group: Diversified behavioral health provider offering residential and outpatient SUD treatment across multiple states. Directly comparable in service mix (detox, residential, IOP), insurance-based reimbursement, and patient acquisition modeling.
• Summit Behavioral Health: Private equity-backed multi-state SUD and mental health treatment operator with residential and outpatient facilities. Comparable in scale, multi-brand strategy, and insurance-driven admissions approach.
• Caron Treatment Centers: Nonprofit SUD treatment provider with residential facilities and specialty programs for professionals, adolescents, and older adults. Directly comparable in continuum of care and specialized programming for high-acuity segments.

Broad incumbents

• Acadia Healthcare: Large publicly traded behavioral health operator with a national network of inpatient psychiatric facilities and specialty treatment centers. Overlaps on residential SUD and psychiatric care, with broader scale and acute psychiatric hospital footprint.
• Universal Health Services: Large publicly traded hospital and behavioral health operator with acute psychiatric and residential treatment facilities. Overlaps with Promises on acute behavioral health and residential SUD care, with significantly broader hospital portfolio.
• Wellpath: Operator of correctional and behavioral health programs including SUD treatment services. Adjacent in behavioral health delivery but primarily serves justice-involved populations rather than consumer-facing admission.

Emerging players

• CleanSlate Centers: Multi-state outpatient addiction treatment provider focused on MAT (buprenorphine, naltrexone, Suboxone) for opioid and alcohol use disorders. Comparable in evidence-based MAT focus and outpatient care delivery, though narrower than Promises' full continuum.
• BrightView Health: Outpatient SUD treatment provider with a growing multi-state footprint specializing in MAT and wraparound services. Comparable in evidence-based approach and insurance acceptance, with overlap in target patient populations.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/promisesrehab
• YouTubeyoutube.com/user/elementsbhealth
• Facebookfacebook.com/PromisesBehavioralHealth
• LinkedInlinkedin.com/company/promises-behavioral-health

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Subsidiaries20 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Promises Behavioral Health