Supportive Living for Men at River House

Designed exclusively for men participating in Pyramid Healthcare’s substance abuse comprehensive outpatient program (SACOT), River House offers a focused and supportive living environment. Located in Asheville, North Carolina, River House serves as a bridge between clinical care and independent living, giving clients the structure they need to heal, grow and prepare for life in recovery. 

Offering 13 beds and a tight-knit, male-only community, River House fosters a recovery-centered environment that emphasizes personal responsibility and peer support. All residents are actively engaged in PHP programming (30 hours/week, M–F 9–3:30) at a nearby Pyramid Healthcare location. This immersive schedule is designed to build critical coping skills while residents benefit from a sober, safe living arrangement.

River House goes beyond basic supportive housing by offering amenities that enhance both mental and physical well-being. Each resident has access to:

River House residents are encouraged to work toward long-term goals with the support of our experienced staff. We provide:

This hands-on assistance ensures clients stay focused on recovery while addressing the real-life responsibilities that come with rebuilding a healthy lifestyle.

At River House, clients on medication-assisted treatment (MAT)—including methadone—are welcomed and supported as they engage in care. We believe recovery is not one-size-fits-all. Our home reflects a flexible and inclusive approach that meets people where they are.

As clients near the end of their SACOT programming, River House staff provide comprehensive aftercare planning to help ensure a smooth transition to the next phase of care. We are also available to coordinate offsite medical appointments and assist in maintaining ongoing treatment as needed.

While service animals are permitted, emotional support animals are not accepted at this time.

River House in Asheville, NC empowers men in recovery through structure, accountability and support—all within a community designed to strengthen the body and mind. If you’re seeking a safe, purpose-driven place to live while in SACOT care, River House offers the foundation you need to move forward with confidence.

If you or someone you love is struggling with substance use or mental health challenges, help is available. Pyramid Healthcare’s Asheville facility provides comprehensive, Medicaid-accepted addiction treatment and behavioral health services to support lasting recovery.