Northwest Indian Treatment Center

Located on 2.5 acres in the small rural town of Elma, Washington, the Northwest Indian Treatment Center (NWITC) primarily serves the Native American population in Washington, Oregon, and Idaho. The center's spiritual name, D3WXbi Palil, given by Bruce Miller of the Skokomish Tribe, means "returning to the light." The 28-bed center specializes in treating unresolved trauma and grief related to chronic relapse patterns in a residential setting. They combine cultural activities, traditional/religious practices, and evidence-based approaches to heal the mind, body, and soul.
The treatment staff at NWITC includes a mental health counselor, licensed nurse, psychiatric nurse practitioner, and recovery support team to deliver transformative care from the beginning of treatment and beyond. They teach clients valuable skills through dialectical behavior therapy (DBT) and incorporate traditional and spiritual practices like inipi (sweatlodge) ceremonies, Shaker and other church services, storytelling, Native crafts, and more. They also offer AA/NA and Wellbriety meetings.
NWITC aims to support individuals beyond their stay at the residential program. Their recovery support team follow up with alumni for a year post treatment, ensuring clients are well supported in the early stages of recovery. The team helps arrange housing, transportation, and also trains recovery coaches in tribal communities.

Listing sourced from the SAMHSA Behavioral Health Treatment Services Locator. Data last synced April 2026. Verify current programs directly with the facility.