Overview
Located on a sprawling 2,000-acre campus in the peaceful hills near Dickson, Tennessee, The Ranch offers a nationally recognized program for adults recovering from addiction and co-occurring mental health disorders. The setting is intentionally non-clinical, with clients residing in comfortable, gender-specific cottages to foster a sense of community and safety. With a total capacity of 40 beds, the center maintains an intimate atmosphere and a focus on individualized care. As part of Promises Behavioral Health, they provide a trauma-informed, integrated approach to healing. Their full continuum of care includes medical detox, residential treatment, and outpatient programs, addressing not only substance use but also complex issues like sex addiction and disordered eating. With a strong emphasis on experiential therapies such as equine and adventure therapy, The Ranch provides a unique, restorative environment that leverages the power of nature to help clients build a foundation for lasting recovery. Visit their website here.
Facility
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Amenities & Details
Your First Step is a Conversation
Reaching out can feel overwhelming, but you're not alone. The admissions team is here to listen without judgment and help you understand your options.
- Your call is 100% confidential. Speak with The Ranch's admissions.
- There's no commitment to enroll. They're here to answer questions.
- Talk next steps clearly. Discuss costs, insurance, and what treatment looks like.
Treatment
Levels of Care
Medical Detoxification
Safe, medically supervised withdrawal.
Residential Treatment
Immersive, trauma-informed care.
Outpatient Programs (PHP/IOP)
Flexible support for reintegration.
Sex Addiction Recovery
Specialized relationship track.
Approaches
Policies
Open Campus
Clients can enjoy the grounds but must stay on property.
MAT Supported
Medication-Assisted Treatment is available when appropriate.
Smoking/Vaping Allowed
Cigarettes and single-use vapes in designated areas.
Electronics Policy
Cell phones used once a week; daily landline access.
Family Contact
No in-person visits; family therapy via Zoom.
Prohibited Items
Includes weapons, non-prescribed drugs, and laptops.
Cost
Insurance Accepted
The Ranch Tennessee is in-network with many major PPO insurance carriers. They do not accept Medicaid. Contact their team for a free benefits check.
Verify Your InsuranceSelf-Pay
Self-pay options are available. Please call to confirm exact pricing.
- Detox & Residential (30 Days): $30,000
- Detox Only: $5,000
- PHP Program: $20,000
- IOP Program: $10,000
Reviews
Based on 544 Google reviews
What Clients Appreciate
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Compassionate Staff: Consistently praised for being knowledgeable, caring, and genuine.
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Healing Environment: The serene, natural setting is cited as crucial for recovery and reflection.
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Experiential Therapies: Equine and adventure therapies are highlighted as profoundly impactful.
"The Ranch was the best decision I could’ve made for myself. Not only were the staff and therapists caring, knowledgeable, and just phenomenal... but the other clients I was there with were so incredibly supportive. It’s an amazing place to heal."
"This place saved my life. I learned so much about myself and how to deal with the struggles that had plagued me for so many years. The staff was incredible, compassionate and genuinely cared about my well being."
View additional context from reviews
A minority of reviews cite issues with administrative and billing communication, leading to frustration after discharge. Some former clients felt the program could be disorganized at times or that their experience was negatively impacted by specific staff interactions. A few mentioned that the rules felt overly restrictive or not consistently enforced.
Location
Address
The Ranch Tennessee5166 State Hwy 48
Dickson, TN 37055, USA
Hours
Admissions: 9am - 6pm daily
Residential programs operate 24/7.
Frequently Asked Questions
Program & Treatment
Why choose us? What makes it different than other addiction treatment centers?
We emphasize a nature-based retreat setting, home-like residential living, trauma-informed integrated treatment of addiction + mental health + compulsive behaviors, experiential therapies (equine, adventure), and strong aftercare support, which together differentiate us from more conventional facilities.
What substance use disorder treatment programs do you offer?
We offer a full continuum of care including Medical Detox, Residential Treatment, Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP).
How do you treat dual diagnosis?
Yes – We are licensed for both primary mental health disorders and substance use disorders, and provide integrated treatment for co-occurring disorders, trauma, addictions, sex/relationship compulsive behaviors and mental health conditions.
What types of therapies do you use in your addiction treatment programs?
We offer evidence-based and experiential therapies including: EMDR, Brainspotting, Somatic Experiencing (SomEx), DBT, equine-assisted therapy, adventure therapy, CBT, mindfulness, and trauma‐resiliency practices.
Does this program use the 12-steps?
The program is primarily clinical-based, but 12-Step principles are part of the process and meetings are offered. Participation in the steps is not mandatory.
Is the program faith-based?
No, the program is clinically focused and not faith-based. However, clients who wish to can stream church services on Sundays.
How long has this facility been open?
The Ranch Tennessee was founded and has been offering services since 1997.
Cost & Admission
What will my costs be for treatment?
Costs vary. Self-pay estimates are: Residential & Detox combined at $30,308 for 30 days. Outpatient estimates are $20,000 for PHP and $10,000 for IOP. It is best to call for an exact quote based on your needs and insurance.
Do you accept insurance for substance use disorder treatment?
Yes – We accept many major insurance carriers and are in-network with many PPOs. Clients are encouraged to call for a free insurance benefits check. We do not accept Medicaid.
Do you provide detoxification services?
Yes – The Ranch TN offers medical drug and alcohol detox services, with around-the-clock medical monitoring and evidence-based medications as appropriate.
Is Suboxone (MAT) permitted?
Yes, Medication-Assisted Treatment (MAT), including Suboxone, is available and can be incorporated into a client's treatment plan when it is clinically indicated.
What is the difference between inpatient and outpatient addiction treatment?
Detox is the first stage of treatment, focused on safely managing withdrawal symptoms under medical supervision. Inpatient or residential treatment follows detox and involves living at the facility full-time. A Partial Hospitalization Program (PHP) is a step down, where clients attend full days of treatment but return home at night. Intensive Outpatient Programs (IOP) offer more flexibility, providing several hours of therapy a few days per week.
Daily Life, Rules & Family
How long will I be there?
The typical length of stay for the residential program is 30 days, though this can be adjusted based on individual clinical needs.
What is the living situation like? Can I get my own room?
The living situation is comfortable and home-like in gender-specific cottages. All rooms are semi-private, meaning you will have one roommate. Private rooms and bathrooms are not available.
Is this a closed/locked facility?
No, it is an open campus. Clients are free to go outside for walks and breaks, but they are expected to remain on the property and adhere to the program schedule.
Can I use my phone or laptop? Is there WiFi?
Cell phone use is very limited; you can use your cell phone once a week on Thursdays for one hour. Laptops are not permitted. Landline phones are available for daily use for 20-30 minutes after group sessions.
Is smoking/vaping allowed?
Yes, cigarette smoking and vaping with single-use cartridges are permitted in designated outdoor areas. Other tobacco products like dip or chew are not allowed.
What should I bring with me?
Bring comfortable clothing for about a week, personal hygiene items (unopened), ID and insurance cards, and prescription medications in original bottles. You may bring factory-sealed cigarettes.
What should I leave at home?
Leave valuables, electronics (laptops, tablets), weapons, non-prescribed medications, revealing clothing, and any outside food, drinks, or products containing alcohol at home.
What is the layout of the campus?
The campus is situated on about 2,000 wooded and rolling-hill acres in Tennessee, featuring home-like residences/cottages, outdoor trails, and a serene nature setting.
Who provides care here? Are there psychiatrists on staff?
Care is provided by a multidisciplinary team that includes a psychiatrist, nurses, and licensed therapists. There are no psychologists on staff.
Who else will be in treatment with me at your facility? What is their occupancy?
You will be in treatment with other adults (18+) from various backgrounds who have private insurance. The program is co-ed, but housing and most therapy are gender-specific. The facility has a capacity of 40 beds.
Are family visits allowed? What is the family involvement?
In-person family visits are not permitted. However, family involvement is a key part of treatment and includes family therapy sessions, educational webinars, coaching, and structured check-ins via phone or Zoom.
What kind of aftercare and follow-up support is available?
We offer robust aftercare support including regular check-ins, relapse-prevention planning, alumni events, peer connections, and ongoing coaching to help clients transition back to daily life.
Is there any follow-up after discharge?
Yes, our aftercare and alumni support programs are designed to provide ongoing connection and resources to help maintain recovery and build a sustainable life post-treatment.
Ready to Take the Next Step?
Their team is available to answer your questions confidentially.
Call NowAccreditation & Support
Joint Commission
Gold Seal of Approval
LegitScript Certified
Verified Healthcare Provider
NAATP Member
Nat'l Assoc. of Treatment Providers
Chamber Member
Nashville Area Chamber