We're here to help
At Columbia River, we provide personalized and compassionate behavioral and substance use treatment services to Southwest Washington.NorthStar Opioid Treatment Program remains open and is accepting new clients for walk-in services.
- Adult and Child and Family Outpatient Therapy Services – Intake Services Now Open!
- Adult Psychiatry
- Health Homes Services.
- Program of Assertive Community Treatment (PACT)
- Mobile Health
- Forensic Housing & Recovery Peer Services (FHARPS)
Medical records are stored in a safe and secure manner for clients.
Columbia River Mental Health Services & Cowlitz Indian Tribe Announce Letter of Intent to Protect Behavioral Health Services
On July 10th, 2025, Columbia River Mental Health Services (CRMHS) and the Cowlitz Indian Tribe (CIT) announced a letter of intent to transition CRMHS programs and operations under the leadership of the Tribe’s Health and Human Services Department. This collaborative effort will preserve access to essential behavioral and substance use disorder health services for thousands of patients in Southwest Washington, while extending the reach of the Tribe’s nationally recognized, culturally-grounded care model.
How we help
Since 1942, we’ve helped thousands of people and families with personalized solutions to mental health, substance use, and crisis situations.
Who we help
We tailor our services to every individual, depending on your specific needs, challenges, and strengths that affect your daily life, and the lives of those around you.
Adults
Counseling and case management
Children and families
Healthy families is our goal
Young adults
Preparing you for adulthood
Teens
Guidance to start you on your journey
What we help you with
We meet you where you are, no matter where you are on your path. No single treatment plan works for everyone. That’s why you’ll get the support you need from Columbia River’s range of programs and outpatient treatment options.
In the news
Get the latest info from Columbia River’s range of programs and outpatient treatment options.
