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Residential · Nunnelly, Tennessee

Promises Behavioral Health The Ranch Tennessee

Medical Detox Partial Hospitalization (PHP) Intensive Outpatient (IOP)
Address
6107 Pinewood Road
Nunnelly, Tennessee 37137
Available
24/7 admissions

About

About Promises Behavioral Health The Ranch Tennessee

Promises Behavioral Health The Ranch Tennessee is a residential addiction treatment facility located at 6107 Pinewood Road in Nunnelly, Tennessee, serving Hickman County and the greater Dickson, TN area. Set on open rural land with access to fresh air, outdoor space, and work with horses, The Ranch operates as a SAMHSA-certified program offering a full continuum of care for adults struggling with substance use disorders and co-occurring mental health conditions. For individuals and families urgently seeking medically supervised withdrawal management, this facility is among the few in the region equipped to begin that process on-site.

The facility’s levels of care begin with Medical Detox — the clinical foundation for safe withdrawal from alcohol, opioids, fentanyl, benzodiazepines, methamphetamine, cocaine, stimulants, pain medications, and other prescription drugs. Following detox, patients can step into Partial Hospitalization (PHP), which delivers structured, intensive clinical programming without requiring a separate transfer to another facility. Intensive Outpatient (IOP) is also available, offering a lower-intensity option as patients transition toward greater independence. This on-site continuum means individuals do not have to restart the admissions process at a different center as their clinical needs evolve.

The Ranch’s treatment approach draws on a range of methods grounded in its rural setting and confirmed therapeutic programming. Equine therapy, adventure therapy, mindfulness therapy, and a dedicated family program are each part of the clinical framework. The outdoor environment — open space, outdoor work, and interaction with horses — is built into the program, not offered as an optional add-on. Co-occurring conditions including anxiety, depression, PTSD, trauma, bipolar disorder, and ADHD are treated alongside substance use disorders.

The Ranch serves both men and women in a residential setting, with an alumni network providing post-treatment connection and support. Families navigating a crisis around opioid addiction, alcohol dependence, or other substance use disorders will find a program structured to address the medical urgency of withdrawal first, then build on it with longer-term residential and outpatient care. The facility can be reached directly at (888) 486-3821.

  • On-site medical detox for alcohol, opioids, fentanyl, benzodiazepines, and stimulants — no transfer needed to begin withdrawal management
  • Full residential continuum from detox through PHP and IOP on a single rural campus in Nunnelly, TN
  • Equine therapy and adventure therapy integrated into clinical programming — not a marketing feature but a confirmed part of treatment
  • Treats co-occurring mental health conditions including PTSD, trauma, bipolar disorder, anxiety, and depression alongside substance use
  • SAMHSA-certified facility with a dedicated family program and alumni network for ongoing support

Treatment

What this center treats and how

Levels of care
Medical Detox Partial Hospitalization (PHP) Intensive Outpatient (IOP)
Conditions
Alcohol Addiction Opioid Addiction Fentanyl Addiction Stimulant Addiction Benzodiazepine Addiction Cocaine Addiction Methamphetamine Addiction Pain Medication Addiction Prescription Drug Addiction Anxiety Depression Trauma PTSD Bipolar Disorder ADHD
Methods
Equine Therapy Adventure Therapy Mindfulness Therapy Family Program
Populations
Women Men
Facility
Rural Setting Open Space Fresh Air And Exercise Outdoor Work Work With Horses Adventurous Recreational Activities

Location

Where it is

6107 Pinewood Road, Nunnelly, Tennessee 37137 Get directions

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Medical Detox at The Ranch Tennessee

For individuals facing withdrawal from alcohol, opioids, fentanyl, benzodiazepines, methamphetamine, cocaine, or prescription medications, The Ranch Tennessee provides on-site medical detox as the first step in treatment. Having detox available within the same residential facility eliminates the logistical gap that often puts people at risk — there is no need to detox at one location and then transport to another for continued care.

Following medical detox, the clinical team at The Ranch can move patients directly into Partial Hospitalization or Intensive Outpatient programming without requiring a new intake process. This continuity matters in early recovery, when disruption in care is one of the leading risk factors for relapse. The Ranch's SAMHSA certification reflects a baseline of federal standards across its detox and treatment operations.

Levels of Care: From Detox to Outpatient

The Ranch Tennessee operates across three confirmed levels of care: Medical Detox, Partial Hospitalization (PHP), and Intensive Outpatient (IOP). Each level corresponds to a different stage of clinical need, and the residential campus structure allows patients to progress through them without leaving the program. PHP delivers high-frequency, structured clinical programming for individuals who have completed detox but are not yet ready for a lower level of supervision. IOP provides continued therapeutic support as patients prepare for reintegration into daily life.

This stepped structure is particularly relevant for families researching detox programs — the question of what happens after detox is answered within the same facility. Individuals treated for opioid addiction, alcohol dependence, or benzodiazepine dependence can move from medically supervised withdrawal management into ongoing residential and outpatient treatment without starting over elsewhere.

A Rural Setting Built Into the Treatment Model

The Ranch Tennessee's campus in Nunnelly is not incidentally rural — the outdoor environment is a functional part of its clinical approach. Equine therapy, adventure therapy, outdoor work, and open space are confirmed components of the program. Work with horses and physically engaging activities are used alongside mindfulness therapy and a structured family program as part of the overall treatment framework.

For people who have struggled in traditional clinical environments, or whose addiction has included isolation and disconnection from the physical world, this setting offers something qualitatively different. The rural location in Hickman County, roughly accessible from Dickson, TN, keeps patients removed from the environments that often reinforce substance use while providing structured therapeutic engagement throughout the day.

Co-Occurring Mental Health Treatment

Substance use disorders rarely arrive alone. At The Ranch Tennessee, conditions including anxiety, depression, PTSD, trauma, bipolar disorder, and ADHD are treated as part of the clinical program — not handled separately or deferred to an outside provider. This matters for individuals whose substance use is intertwined with untreated or undertreated mental health conditions, which describes a significant proportion of people seeking detox and residential care.

The facility's confirmed treatment scope covers alcohol addiction, opioid addiction, fentanyl addiction, stimulant addiction, benzodiazepine addiction, cocaine addiction, methamphetamine addiction, and prescription drug addiction. The combination of broad substance coverage and integrated mental health treatment makes The Ranch a clinically appropriate option for individuals presenting with complex, overlapping diagnoses. Families can contact the facility directly at (888) 486-3821 to discuss specific clinical needs before admission.

After Care

Continuing support

Alumni Network

Cost & Credentials

What's covered and who vouches for it

Accreditations
Samhsa

Common questions

FAQs About Promises Behavioral Health The Ranch Tennessee

Does The Ranch Tennessee offer medical detox on-site? +
Yes. Medical Detox is a confirmed level of care at Promises Behavioral Health The Ranch Tennessee in Nunnelly, TN. Individuals do not need to complete detox at a separate facility before beginning residential treatment at The Ranch. This on-site capability is particularly important for those withdrawing from alcohol, opioids, fentanyl, or benzodiazepines.
What substances does The Ranch Tennessee treat? +
The Ranch Tennessee treats alcohol addiction, opioid addiction, fentanyl addiction, benzodiazepine addiction, stimulant addiction, cocaine addiction, methamphetamine addiction, pain medication addiction, and prescription drug addiction. Co-occurring mental health conditions including anxiety, depression, PTSD, trauma, bipolar disorder, and ADHD are also addressed within the program.
What levels of care are available at The Ranch Tennessee? +
The Ranch Tennessee offers three levels of care: Medical Detox, Partial Hospitalization (PHP), and Intensive Outpatient (IOP). This continuum allows patients to move from medically supervised withdrawal management into higher or lower levels of structured treatment without transferring to a different facility.
Who does The Ranch Tennessee serve? +
The Ranch Tennessee serves both men and women in a residential treatment setting. The facility is located in Nunnelly, TN and lists Dickson, TN as part of its service area. Adults seeking detox and residential addiction treatment in the Hickman County region are among the primary populations served.
Is The Ranch Tennessee accredited or certified? +
The Ranch Tennessee holds SAMHSA certification, reflecting compliance with federal standards for substance abuse treatment. SAMHSA certification applies across the facility's detox and addiction treatment programming.
What therapeutic approaches are used at The Ranch Tennessee? +
Confirmed therapeutic methods at The Ranch Tennessee include equine therapy, adventure therapy, mindfulness therapy, and a family program. These approaches are integrated into the residential treatment model, with the facility's rural setting and outdoor environment serving as active components of the program.
Does The Ranch Tennessee treat co-occurring mental health conditions? +
Yes. The Ranch Tennessee treats co-occurring conditions including anxiety, depression, PTSD, trauma, bipolar disorder, and ADHD alongside substance use disorders. Addressing both conditions simultaneously is part of the confirmed clinical scope at this facility.
Is there support available after completing a program at The Ranch Tennessee? +
The Ranch Tennessee maintains an alumni network as a confirmed form of aftercare support. This provides graduates of the program with ongoing connection following the completion of residential or outpatient treatment.
How can I contact The Ranch Tennessee to ask about detox availability? +
The Ranch Tennessee can be reached by phone at (888) 486-3821. The facility's website is recoveryranch.com. For individuals or families making urgent decisions about detox or withdrawal management, direct contact with the facility is the most reliable way to confirm current availability and clinical fit.
Where is The Ranch Tennessee located? +
The Ranch Tennessee is located at 6107 Pinewood Road, Nunnelly, TN 37137, in Hickman County. The facility serves the Dickson, TN area and surrounding communities. Its rural campus setting is a deliberate part of its residential treatment model.

Services

Programs and specialties

Treatment type
Outpatient Residential treatment Outpatient day treatment or partial hospitalization IOP Residential detoxification Long-term residential Short-term residential Alcohol Detoxification Benzodiazepines Detoxification Cocaine Detoxification Opioid Detoxification Methamphetamines detoxification Routinely uses medication for detoxification
Payment
Cash or self-payment
Specialty
Mental health counseling for co-occurring disorders Group therapy Family therapy Marital/couples counseling Addiction recovery education Adolescents and young adults Pregnant/postpartum women Adult men Seniors or older adults Gay & Lesbian Veterans Clients referred from the court/judicial system
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