A Quiet Place to Heal: Welcome to Lighthouse on 20th Street.

An intimate 8-bed recovery home where personalized, trauma-informed care lights the way forward.

1114 E 20th Street, Baltimore, MD

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A Community-Centered Home for Healing.

In the heart of a peaceful Baltimore neighborhood, Lighthouse at 1114 E 20th Street offers a different path to recovery. We believe that true healing flourishes in a safe, structured, and personal environment.

Our Comprehensive Approach to Healing

Trauma-Informed & Evidence-Based Therapy

Our core philosophy, prioritizing emotional and physical safety.

Licensed ASAM Levels 3.1, 3.3 & 3.5

Clinically-managed care for tailored treatment intensity.

Medication & MAT Support

Comprehensive monitoring and support to ensure stability.

Life Skills & Case Management

Vocational support and strategic planning for a successful return.

Family Engagement

Rebuilding crucial support systems for lasting recovery.

Nourishing Meals for Healing

Three nutritious meals prepared on-site daily.

A Supportive Home for Every Journey.

Adults with mental health and/or substance use diagnoses.
Individuals seeking a smaller, less institutional recovery environment.
Clients transitioning from inpatient hospitalization or incarceration.
Medicaid-eligible clients or those referred by DSS, DJS, and the courts.

"After being in bigger facilities, the quiet and personal attention at the 20th Street home made all the difference. I wasn't just a number. It felt less like a clinic and more like a family."

— J.R., Former Resident

"The communication from their clinical team was excellent, and the trauma-informed approach was exactly what my client needed to finally feel safe enough to open up. I saw a remarkable change."

— Case Manager, Baltimore City

Your Questions, Answered.

It means we recognize that past trauma can shape a person's entire experience. Our staff is trained to create an environment of safety, trustworthiness, and collaboration. We avoid re-traumatizing language or practices and focus on empowering residents, giving them voice and choice in their treatment journey.

A typical day is structured to promote routine and well-being. It includes a blend of individual therapy, group sessions, life skills workshops, communal meals, and personal reflection time. While every day has a framework, it’s flexible enough to meet the individual clinical needs of our residents.

The length of stay is based entirely on the individual's clinical needs and progress toward their treatment plan goals. We focus on effective, sustainable recovery, not a one-size-fits-all timeline.

Begin Your Journey Today.

Taking the first step is the most courageous part of recovery. Our admissions team is here to make it as simple and supportive as possible.

Email Admissions

Referrals accepted 24/7 via our secure EHR portal.