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Emerald City Behavioral Health branding logo with text and orange shape.

Facilities & Counties We Serve

Yellow outline of Pierce County, with the name Pierce inside the shape.

Pierce County

Outpatient Counseling, Intensive Residential Treatment (IRT), residential care supports

Yellow outline of Spokane with Spokane text on black background.

Spokane County

Outpatient Counseling (MH & SUD), Intensive Residential Treatment (IRT), residential care supports

Yellow outline of King County with text label King on black background

King County

Youth Continuum of Care, including inpatient stabilization, withdrawal management, short- and long-term residential care, outpatient counseling, and family engagement

Supporting Washington communities through accessible, compassionate behavioral healthcare.

Did you know you can choose your Medicaid managed care plan in Washington State?

Emerald City Behavioral Health sign on building exterior under cloudy sky.

Who We Are

Emerald City Behavioral Health is a Washington State–designated provider delivering the full continuum of behavioral health care. We specialize in serving individuals with severe mental illness and co-occurring substance use disorders.


Our continuum includes outpatient therapy, Intensive Residential Treatment, long-term residential programs, youth evaluation and treatment centers, and crisis stabilization facilities—helping communities thrive across Pierce, King, and Spokane Counties.

IRT (Intensive Residential Treatment)

Our specialty program for adults with serious mental illness and co-occurring disorders, providing wrap-around, high-acuity outpatient care delivered directly in residential care settings. IRT supports long-term stability, reduces hospitalizations, and helps individuals remain successfully in their communities.

Youth Continuum of Care

Comprehensive services for youth ages 12–17, including crisis stabilization, evaluation & treatment, residential care, outpatient counseling, and family engagement—ensuring the right level of care at the right time.

Outpatient Counseling (MH & SUD)

Outpatient Counseling (MH & SUD) provides specialized treatment for individuals with severe mental illness, offering therapy, medication management, peer support, and recovery-focused services in community clinic settings. Our programs are designed for those with complex needs, ensuring continuity of care and long-term stabilization.

Therapeutic Court Programs

Contracted provider for DUI, Drug, and Veterans Courts. We deliver treatment and recovery services under structured court agreements to support compliance and lasting recovery.

Continuum of Care

From crisis stabilization to outpatient support, Emerald City Behavioral Health delivers a complete continuum of care for individuals with severe mental illness.

Crisis Stabilization

Evaluation & Treatment

ESF/IBHTF

Outpatient | IRT

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