Recovery Is Possible.
You're Not Alone.
Compassionate, person-centered care. Cottonwood Pathways is the only substance use and behavioral health organization in Farmington, NM that treats the whole person: mind, body, and soul.
Who We Serve
Cottonwood Clinical Services provides integrated treatment for adults and adolescents facing substance use disorders, mental health challenges, or both.
We welcome everyone seeking help, from those taking their first steps toward recovery to individuals working to maintain long-term sobriety.
We support:
Adults seeking addiction treatment (self-referred and court-referred)
Adolescents ages 13-18 needing behavioral health and addiction services
Individuals with co-occurring mental health and substance use disorders
Families navigating the recovery journey together
Our approach is simple: We meet you where you are, without judgment, and provide the structure and support you need to create lasting change.
Our Core Services
Structured treatment that fits your life. Our IOP offers 9 hours per week of evidence-based therapy for substance use disorders and behavioral health conditions. You'll build recovery skills while maintaining work, school, or family commitments.
Specialized care for young people ages 13-18. We understand that adolescents face unique challenges. Our dedicated team provides age-appropriate outpatient counseling and IOP designed specifically for teens navigating mental health and substance use concerns.
Individual therapy tailored to your needs. Whether you're addressing anxiety, depression, trauma, or substance use, our licensed clinicians provide compassionate, evidence-based care to support your mental health and recovery goals.
We offer EMDR for trauma, DBT skills training, and other evidence-based approaches. Our clinicians are trained in cutting-edge therapies to address complex mental health needs and co-occurring disorders.
On-site drug testing provides urinalysis testing services for our clients and contract with courts, probation offices, and legal professionals throughout San Juan County.
What Makes Us Different
At Cottonwood, recovery isn't one-size-fits-all. We've built something unique in Farmington: a comprehensive network of support that addresses not just addiction and mental health, but the whole person.
You'll find:
- Clinicians who genuinely care and are here for the right reasons
- A culture rooted in accountability, transparency, and hope
- Integrated care that connects clinical treatment with real-world support
- A team that won't give up on you, even when the journey gets hard
We're not a sterile clinic. We're a community committed to your success. From the moment you walk through our doors, you'll feel the difference.
Real Stories of Recovery & Hope
Every story shared here reflects real experiences from individuals and families who have walked through our programs. While each journey is unique, these testimonials highlight the compassion, support, and lasting impact that define the care at Cottonwood Pathways.
"The staff and counselors are amazing there not just textbook counselors they actually know what its like to live that life and how to turn your life around. They've inspired me so much that I've chosen to be a substance abuse counselor myself and to try and give the help back that was given to me. I would highly recommend checking them out if you want recovery or help turning your life around. Thanks Cottonwood"
"Every staff member I have encountered has been so amazing and kind. I was given a chance to turn my life around. When you want it, things start to happen for the better. I am self referred and while the sobriety life has its challenges, I thank Cottonwood for being apart of my journey to sobriety. Thank you Cottonwood from the front staff to the Counseling, ERS, UA area, and Group sessions, for making this place feel welcoming. I was scared and nervous in the beginning. I knew I needed help. I didn't feel judged and that was important to me. Thank you for help saving my life that I never knew I needed."
"The staff is great and very friendly, especially if you have Cliff to talk to about your substance use, just be honest and communicate with the staff, they’ll be helpful as they can"
"The staff is great and very friendly, especially if you have Cliff to talk to about your substance use, just be honest and communicate with the staff, they’ll be helpful as they can"
"Every staff member I have encountered has been so amazing and kind. I was given a chance to turn my life around. When you want it, things start to happen for the better. I am self referred and while the sobriety life has its challenges, I thank Cottonwood for being apart of my journey to sobriety. Thank you Cottonwood from the front staff to the Counseling, ERS, UA area, and Group sessions, for making this place feel welcoming. I was scared and nervous in the beginning. I knew I needed help. I didn't feel judged and that was important to me. Thank you for help saving my life that I never knew I needed."
"The staff and counselors are amazing there not just textbook counselors they actually know what its like to live that life and how to turn your life around. They've inspired me so much that I've chosen to be a substance abuse counselor myself and to try and give the help back that was given to me. I would highly recommend checking them out if you want recovery or help turning your life around. Thanks Cottonwood"
Mission & Values
Our Mission: To provide the best overall care to persons seeking recovery that affects the most change.
Our Core Values Guide Everything We Do:
Inspirational -
We show up every day to inspire hope and strengthen your path to recovery.
Disciplined -
We do what we say we will do, consistently and without exception.
Accountable -
We hold ourselves and our clients accountable because transformation is intentional.
Transparent -
Open, honest communication builds the trust essential to healing.
Aligned -
We align our goals with your personal growth and recovery journey.
Results-Oriented -
Every program and service is designed to achieve meaningful, measurable outcomes.
Partner Programs
This is the Cottonwood Pathways family, a full network of recovery services built to support the whole person.
Clinical care, fitness, housing, and community are pieces designed to work together. Recovery doesn't happen in one room.
It happens across all of them.
Ironwood Gym
Physical fitness as part of your recovery. Our fully-equipped gym with certified trainers helps you build strength, structure, and confidence. Because recovery happens in your body, not just your mind.
Brenda's House of Hope
Safe, supportive housing for men and women in recovery. Structured living environment during IOP, transitioning to sober living as you build independence and recovery skills.
Locke Street Eats
A sober food truck park for community connection. Enjoy good food in a substance-free environment while building healthy social connections and exploring entrepreneurial opportunities.
Experiential Program
Recovery through challenge and adventure. Team-building activities, ropes courses, and outdoor experiences that teach trust, perseverance, and what you're truly capable of achieving.
Take the Next Step
Recovery starts with a single decision. Whether you're reaching out for yourself or a loved one, we're here to help.
Ready to begin? Call us at (505) 564-3733 or schedule your assessment online. We'll walk you through insurance verification and answer any questions you have.
In crisis? If you or someone you know is experiencing a mental health or substance use emergency, call our crisis line or visit our Crisis Support page for immediate resources.