Thank you for your interest in Coastal Village Recovery. We are currently preparing our first women’s recovery residence and expect bed space to be limited.

Complete the confidential form below for yourself, a loved one, or a potential referral. Once we begin accepting residents, a member of our team will contact applicants in the order inquiries are received to discuss availability, eligibility, house expectations, and the next steps.

Important notice

Submitting this form does not guarantee admission or reserve a bed. Placement is subject to availability, completion of the screening process, compatibility with the home’s program and safety requirements, and acceptance of all resident policies.

Coastal Village Recovery provides recovery housing and peer support. It is not a medical facility, detoxification center, or emergency service.