info@east20thwellness.com
(443) 320-2706
1114 E 20th Street, Baltimore, MD 21218

Your Recovery Can Begin Today.

1114 E 20th Street LLC offers residential addiction treatment in Baltimore within a safe, supportive, and structured environment—so you can focus fully on healing and building lasting recovery.

✔ Small 8-bed residential setting ✔ Compassionate, structured, evidence-based care ✔ CARF-accredited program meeting the highest standards of quality
1114 E 20th Street, Baltimore, MD
Call Now — (443) 320-2706
CARF Accredited Maryland Department of Health LegitScript Approved
Two young friends spending good time together by the sea

Our intimate 8-bed residential program provides personalized, evidence-based care with 24/7 clinical support, allowing for deeper connection, individualized attention, and meaningful progress.

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.

Call Now — (443) 320-2706
Group of friends celebrating outdoors

What Our Residential Addiction Treatment Program Provides

Rapid Substance Use & Mental Health Assessment

Every admission begins with a same-day substance use and mental health assessment, allowing our clinical team to quickly determine the appropriate ASAM level of care and create a personalized addiction treatment plan. This ensures treatment begins immediately with a clear focus on stabilization, relapse prevention, and long-term recovery.

Evidence-Based, Trauma-Informed Addiction Therapy

Clients receive structured individual, group, and family therapy focused specifically on substance use disorders and co-occurring mental health needs. All therapy is delivered using evidence-based practices within a trauma-informed environment that promotes accountability, emotional safety, and measurable progress.

Residential Living With Room, Board & 24-Hour Support

Clients live on-site in a supervised residential setting with room and board provided, including three meals daily. This 24-hour structured environment removes outside triggers and distractions, allowing clients to fully focus on recovery while receiving consistent support and monitoring.

Medication Support & MAT Coordination

When clinically appropriate, our team provides medication monitoring and coordination, including Medication-Assisted Treatment (MAT), to support withdrawal stabilization, reduce cravings, and improve treatment engagement throughout residential care.

Access to Detox & Specialized Services Through Coordinated Care

For individuals who require medical detox, psychiatric stabilization, or other specialized services, we coordinate expedited referrals and collaborative care with trusted partner providers—ensuring continuity of addiction treatment without gaps or delays.

Case Management, Peer Recovery & Life Skills Support

Each client is supported by dedicated case management and peer recovery specialists with lived experience. Clients also receive vocational and life-skills support to strengthen independence, accountability, and readiness for life after residential treatment.

ASAM Levels 3.1, 3.3 & 3.5 Addiction-Focused Residential Care

We provide a full continuum of residential addiction treatment, from low-intensity structured living (ASAM 3.1) to moderate and high-intensity residential care (ASAM 3.3 and 3.5). This allows clients to be placed at the right level of care and step up or down as clinical needs change.

Who Our Program Is Here to Support

Our residential addiction treatment program is designed for adults who are ready for change but need structure, stability, and support to get there. We help individuals who need a safe place to focus on recovery, including:

People transitioning from detox, hospitals, or other treatment programs who need continued support in a structured setting

Individuals involved with the court or justice system, including those with probation, parole, or court-ordered treatment requirements

Adults approved for Medicaid, MCO, or state-funded treatment, who need reliable access to residential addiction care

Those who are struggling to stay sober on their own and need a 24-hour supervised environment with accountability, routine, and clinical support

Whether you're seeking help for yourself or a loved one, our team works to meet you where you are and guide you toward the right level of care.

Reassurance Line

Not sure if this program is the right fit? An admissions adviser can help you understand your options.

Confidential • Judgment-free • No obligation

A supportive home for every journey

What to Expect When You Arrive (New Client Orientation)

Take a brief look at how our residential addiction treatment program helps you get settled, supported, and focused on recovery from day one.

Starting treatment can feel overwhelming. This short orientation video walks you through what happens when you arrive, how we support you during your first days, and what daily life in our residential program looks like—so you can feel prepared and confident before taking the next step.

In this orientation, you'll learn about:
  • How intake and admission work on your first day
  • Daily structure, schedules, and expectations
  • Living arrangements, meals, and on-site support
  • Therapy, recovery activities, and staff support
  • How we help you settle in and feel supported early on

This removes fear and answers unspoken questions.

Ready to take the next step?

If you feel like this program could be right for you or your loved one, our admissions advisers are available to help you get started.

Call Now — (443) 320-2706

You won't be navigating this alone—we'll guide you every step of the way.

Voices From Our Community

Hear from individuals who have taken steps toward recovery with us—and from the professionals who trust our program to support their clients with care, dignity, and accountability.

Choosing treatment is a big decision. These stories offer an honest look at what it's like to be part of our community.

Client Experiences & Professional Reflections
"

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

Shared with permission. Individual experiences may vary.

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.

Take the Next Step Toward Recovery

Help is available right now. Whether you're seeking support for yourself or a loved one, our admissions team is here to answer your questions, explain your options, and help you get started—confidentially and without pressure.

Call or schedule an intake today:

Contact Information

(443) 320-2706

info@east20thwellness.com

1114 E 20th Street
Baltimore, MD 21218

Call Now — (443) 320-2706

Admissions available 24/7 • Rolling admissions • Same-day placement in most cases

LegitScript Approved

Contact Us Today