Pierce County Alliance

What Pierce County Alliance does

Pierce County Alliance (PCA) is a Washington State-licensed and CARF-accredited nonprofit behavioral health organization headquartered at 510 Tacoma Avenue South in Tacoma, Washington, founded in the early 1970s and operating continuously for over 50 years. It provides a comprehensive continuum of care centered on substance use disorder (SUD) treatment, mental health therapy, domestic violence intervention, and youth services. Core programs include adult outpatient and intensive outpatient treatment, medications for opioid use disorder (MOUD) using Suboxone, Vivitrol, and methadone delivered on-site six days a week, the Felony Drug Court program operated in cooperation with Pierce County Superior Court since 1994, the Family Recovery Court, in-jail SUD treatment at the Pierce County Jail, the Assisted Outpatient Treatment program for civil court-ordered clients, the Community Re-entry Program, and the 24/7 Recovery Navigator Program. Youth services include the Independent Youth Housing Program (IYHP) for foster care alumni and unaccompanied homeless young adults ages 18–24 and the Supplemental Education Transition Planning (SETuP) program for ages 13–21. Complementary offerings include the Peer Pathfinder Program, Chemical Detection Services with NIDA/CAP/CMS/HITRUST-compliant urinalysis and breath analysis, and Domestic Violence Intervention Services (Levels I and II) certified by the Washington State Department of Health.

The organization's revenue model is anchored in Medicaid and insurance reimbursement for clinical services, supplemented by court and government contracts (Pierce County Superior Court, Pierce County Jail, Washington State DSHS, Washington State Health Care Authority, and the Corelan ASO), state and county grants (including a new joint grant with Northwest Integrated Health for mobile opioid treatment), and donations. Treatment costs are stated to be covered by Medicaid or other insurance for most clients, with an explicit policy that no one is refused treatment for inability to pay. Pricing tiers are not publicly disclosed. Sales-led and community-led go-to-market operates through walk-in assessments (8:00 a.m. to 4:30 p.m.), court-ordered referrals across felony and family recovery courts, the Recovery Navigator Program's 24/7 line, and embedded jail-based outreach; a medically equipped RV mobile opioid treatment program is scheduled to launch in early 2026 to reach underserved rural Pierce County.

The underlying technology stack is human-clinician-led rather than software-platform-led, combining evidence-based modalities (trauma-informed care, moral reconation therapy, relapse prevention) with an on-site MOUD clinic and a certified chemical detection lab. PCA holds CARF accreditation and multiple Washington State certifications, has received the NADCP Community Transformation Award (2014) and the Harvey Goldstein Hall of Fame Award (2022), is a founding member of the Washington State Association of Drug Court Professionals (WSADCP), and operates service extensions into Thurston County via the Thurston County Therapeutic Superior Court. No AI/ML, proprietary software platform, or technology product is offered; the organization's differentiation rests on credentialing, court-anchored service infrastructure, and integrated co-occurring disorder treatment rather than on a defensible technology asset.

Name

Pierce County Alliance

Legal name

Pierce County Alliance

Website

https://piercecountyalliance.org

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

101–250 employees

Short description

Pierce County Alliance is a CARF-accredited, Washington State-licensed nonprofit behavioral health provider in Tacoma delivering substance use disorder treatment, mental health therapy, domestic violence intervention, and youth services, anchored by court-ordered Drug Court and Family Recovery Court programs and a Medicaid/grant-funded reimbursement model serving Pierce and Thurston Counties.

Ownership category

akta.pro rank

Product category

Behavioral Health and Substance Use Disorder Treatment Services

NAICS

Voluntary Health Organizations (813212), Child and Youth Services (62411), Community Housing Services (62422)

SIC

Services-Health Services (8000), Services-Social Services (8300)

akta.pro primary industry

Substance Use Disorder Prevention & Recovery Services (BPAGACAE)

akta.pro secondary industries

Youth Mental Health, Counseling & Wellbeing (Education-Linked) Nonprofits (BPAGADAK), Youth Housing, Foster Care & Wraparound Support (Education-Linked) Nonprofits (BPAGADAO), Behavioral Health & Substance Use Public Health Programs (BPAIAJAK)

Keywords

• Substance use treatment
• Behavioral health services
• Medication-assisted treatment
• Drug court programs
• Recovery support services

Headquarters

HQ city

Tacoma

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Medicaid and Insurance Reimbursement: Treatment costs primarily covered by Medicaid or other insurance. The organization states no one is refused for inability to pay, indicating a commitment to serve regardless of payment ability.
2. Government Grants: Awarded grants from government entities such as Pierce County for mobile opioid treatment program in partnership with Northwest Integrated Health.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels3 records

Core offering

Pierce County Alliance is a nonprofit behavioral health provider delivering substance use disorder treatment, mental health therapy, medication-assisted treatment for opioid use disorder, court-supervised treatment programs (drug court, family recovery court), in-jail treatment, recovery navigation and peer support, chemical detection/drug testing, and youth housing and education services. Funding flows primarily from Medicaid and insurance reimbursement, supplemented by government grants, with no client refused for inability to pay.

Product overview

Pierce County Alliance is a behavioral health services organization offering a comprehensive portfolio of treatment and support services focused on substance use disorder treatment, mental health therapy, and youth services. The organization operates as a single integrated platform providing multiple treatment modalities including adult outpatient treatment, Medications for Opioid Use Disorder (MOUD), mental health services, and jail-based treatment programs. Key programs include Felony Drug Court (established 1994), Family Recovery Court, Recovery Navigator Program, Peer Pathfinder Program, Chemical Detection Services, and Youth Services programs (Independent Youth Housing Program and SETuP). Services span the continuum of care from prevention and assessment through treatment, recovery support, and community re-entry, with a focus on populations involved with the justice system, individuals with co-occurring disorders, and foster youth transitioning to independence.

Differentiator

Problem solved

Functional benefit

Products and services

• Substance Use Disorder (SUD) Treatment

Quantifiable outcome

• Treatment typically lasts 12-18 months for drug court programs
• +2 more outcomes

Named customers5 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Nine partnerships are on record, tiered core and minor.

• Northwest Integrated HealthcoreStrategic or Co-development PartnerAwarded joint grant with Pierce County Alliance to provide mobile opioid treatment services via medically equipped RV to underserved rural areas of Pierce County beginning early 2026. The mobile team will provide medications for opioid use disorder and related supportive services.
• Pierce County Superior CourtcoreStrategic or Co-development PartnerLong-standing partnership since 1994 for operation of felony drug court program. Court collaborates with County Prosecutor and Department of Assigned Counsel on drug court services.
• Pierce County JailcoreImplementation/ SI/ Consulting PartnerPCA provides in-jail SUD treatment program for both men and women including individual assessments, group and individual therapy. Peer Pathfinders work onsite to help incarcerated individuals access treatment.
• Washington State Department of Social and Health ServicescoreStrategic or Co-development PartnerPartnership for provision of behavioral health services including treatment for individuals involved with state systems.
• Washington State Health Care AuthoritycoreStrategic or Co-development PartnerState agency partnership for healthcare services and treatment programs.
• Corelan Administrative Services Organization (ASO)coreStrategic or Co-development PartnerAdministrative services organization partnership for treatment services coordination.
• Thurston County Therapeutic Superior CourtminorStrategic or Co-development PartnerPCA provides drug court treatment services for Thurston County Therapeutic Superior Court, extending services beyond Pierce County.
• ALL RISE (formerly National Association of Drug Court Professionals)minorStrategic or Co-development PartnerLong-time member of ALL RISE (formerly NADCP), a national organization supporting drug courts and treatment programs.
• Washington State Association of Drug Court Professionals (WSADCP)minorStrategic or Co-development PartnerFounding member of WSADCP, the state-level association supporting drug court programs.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Northwest Integrated Health: Federal Way, WA-based behavioral health and MOUD provider that is PCA's explicit joint-venture partner on the mobile opioid treatment RV launching in early 2026. Directly comparable outpatient SUD/MOUD services in the same Pacific Northwest market.
• Evergreen Treatment Services: Seattle-based nonprofit opioid treatment provider offering methadone and buprenorphine maintenance, counseling, and primary care integration. Comparable MOUD-focused outpatient model in Western Washington, overlapping with PCA's Pierce County catchment.
• Valley Cities Behavioral Health Care: King and Pierce County nonprofit providing mental health, substance use, and recovery housing services. Directly comparable Washington state community behavioral health nonprofit serving overlapping populations including those involved in the criminal justice system.
• Compass Health: Washington state nonprofit behavioral health agency providing mental health, substance use, and housing services across multiple counties. Comparable regional nonprofit behavioral health platform with court and Medicaid contracts similar to PCA.
• Kitsap Mental Health Services: Kitsap County, WA nonprofit providing mental health, substance use, and crisis services. Comparable Pacific Northwest community behavioral health nonprofit with integrated treatment model and government-funded contracts.
• Sea Mar Community Health Centers: Washington state federally qualified health center network providing primary care, behavioral health, and substance use treatment. Comparable WA-based community health nonprofit with integrated SUD/MH services serving similar Medicaid populations.
• Ideal Option: Pacific Northwest-headquartered outpatient MOUD provider with a large multi-state clinic footprint. Comparable outpatient buprenorphine/SUD treatment model, growing rapidly in Washington and competing for the same Medicaid SUD patient base.

Broad incumbents

• BAART Programs: National outpatient opioid addiction treatment chain (part of BayMark) with locations in Washington state. Comparable MOUD outpatient model at much larger national scale, directly competing for Medicaid SUD referrals in the Pacific Northwest.
• BayMark Health Services: Largest US provider of medication-assisted treatment with hundreds of outpatient clinics. Comparable MOUD-focused model with national scale, corporate infrastructure, and capital resources that significantly exceed PCA's regional footprint.
• Hazelden Betty Ford Foundation: National nonprofit addiction treatment organization offering residential, outpatient, and recovery services. Comparable mission-aligned nonprofit SUD provider at much larger national scale, with strong CARF-accredited treatment programming.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/piercecountydc

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

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 Pierce County Alliance