Pain and Addiction Treatment Programs

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Pain and Addiction Treatment

Pain and opioid use disorder often arrive together, and treating one without the other rarely holds. Programs here work with people whose pain is real and ongoing, coordinating medical management with addiction care rather than asking someone to choose between the two.

What this looks like varies widely. Some facilities employ pain specialists on staff; others coordinate with an outside physician. SAMHSA records which providers use methadone or buprenorphine for pain management, and listings reflect that. Ask how prescribing decisions get made before enrolling, then compare.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers Treating Pain and Addiction

APEX Recovery – Brentwood

209 Ward Circle, Brentwood, Tennessee, 37027

4.7★★★★★89

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+1

Co-occurring DisordersMATYoung adults+5

The facility sits on Ward Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management and drug withdrawal management. Care is provided on an outpatient basis, so people continue living at home. Recorded credentials include The Joint Commission. Mental health conditions treated here include co-occurring disorders, depression and anxiety disorders, delivered alongside substance use care. The…

4.2 miWhitfield Park9.4 miNashville International AirportServes13 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · +37 more

Levels of care

30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · Continuing Care · Depression Retreat · +23 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Residential Rehab · Men's Sober Living · +8 more

Support services

Case Management · Community Outreach · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · +6 more

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · Health Net (Centene) · Humana · Magellan Health · Optum · Oscar Health · +3 more

Diablo Valley Treatment and – San Ramon

111 Deerwood Road, San Ramon, California, 94583

5.0★★★★★~~116~~

CARF accredited

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

MATSeniorsYoung adults+4

Diablo Valley Treatment and – San Ramon is based on Deerwood Road in San Ramon, a Tri-Valley city in southern Contra Costa County. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and intensive outpatient program (IOP). Care is provided on an outpatient basis, so people continue living at home. This provider is accredited by CARF.Mental health conditions treated here include anxiety disorders, co-occurring disorders and depression, delivered alongside substance use care. The…

0.4 miBollinger Canyon Creek13 miOakland San Francisco Bay AirportServes22 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +52 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · +41 more

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Senior Detox · +12 more

Support services

Community Outreach · Health and Wellness Support · Health Education · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · Waitlist Interim Services

Insurance accepted

Aetna · Anthem / Elevance Health · Blue Shield of California · Cigna Healthcare · UnitedHealthcare (UHC)

Recovery Team – Newton Upper Falls

233 Needham Street, Newton Upper Falls, Massachusetts, 2464

5.0★★★★★~~118~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceSelf-Pay

Co-occurring DisordersMATTrauma-informed+8

Recovery Team operates from 233 Needham Street in Newton Upper Falls, close enough to Newton and Needham to serve both. That radius takes in Wellesley, Brookline, Watertown and Dedham, all within 5 miles. Newton Upper Falls sits in Middlesex County, and the county's own provision is limited enough that this site draws from a wide area. The facility runs partial hospitalization, intensive outpatient and outpatient care. Medication-assisted treatment is part of the offer, the approach…

2.1 miHarvey Beach11 miBoston Logan International AirportServes61 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · +6 more

Therapies

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · +12 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +49 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · +11 more

Insurance accepted

TRICARE

Clear Steps Recovery – Needham

392 Chestnut Street, Needham, Massachusetts, 2492

5.0★★★★★92

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicareAccepts TRICARE+4

Co-occurring DisordersMATTrauma-informed+9

392 Chestnut Street in Needham puts Clear Steps Recovery inside a short drive of Dover, Wellesley and the towns around them. Wellesley, Dedham, Newton and Brookline all sit within 6 miles of the door. Needham sits in Norfolk County, and the county's own provision is limited enough that this site draws from a wide area. Care offered spans partial hospitalization, intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Massachusetts Bureau of Substance…

4.1 miHarvey Beach13 miBoston Logan International AirportServes61 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +70 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Practical Support · Recovery Support Services · Self Help Groups · +3 more

Insurance accepted

Harvard Pilgrim Health Care · Mass General Brigham Health Plan · Medicare · Optum · TRICARE · Tufts Health Plan · UnitedHealthcare (UHC) · VA Community Care

Rancho Recovery – Rancho Cucamonga

13684 Jeremy Court, Rancho Cucamonga, California, 91739

5.0★★★★★64

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidAccepts TRICARE+2

Co-occurring DisordersMATTrauma-informed+8

Spanish spokenDeaf and HoH

Rancho Recovery – Rancho Cucamonga is based on 13684 Jeremy Court in Rancho Cucamonga, San Bernardino County. The facility offers addiction detox, medically supervised detox, alcohol withdrawal management, drug withdrawal management, polysubstance detox and opioid withdrawal management. Care is provided on both a residential and outpatient basis. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse…

6.7 miBonita Falls7.6 miOntario International AirportServes4 towns

Substances treated

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +67 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Community Reinforcement Approach · Contingency Management · Counseling and Therapy · Couples Counseling · +10 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Hepatitis Support Services · HIV and Hepatitis Care · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · Intervention Services · +8 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab · Spanish Speaking Rehab

Insurance accepted

Medicaid · TRICARE

Ocean State Recovery Center – Johnston

1524 Atwood Avenue, Johnston, RI 02919

4.9★★★★★~~365~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

Ocean State Recovery Center operates from 1524 Atwood Avenue in Johnston. The site sits in Providence County, which shapes which public funding routes apply. Nearby communities include Cranston and Greenville. Rhode Island draws people across long distances for treatment, so travel time is worth weighing against waiting time. Partial hospitalization, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

3.6 miSlacks Pond Beach8.1 miRhode Island T. F. Green International AirportServes35 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intensive Case Management · +12 more

Languages

Spanish Speaking Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Greater Boston Addiction Center – Needham Heights

322 Reservoir Street, Needham Heights, Massachusetts, 2494

4.9★★★★★~~276~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Greater Boston Addiction Center is at 322 Reservoir Street in Needham Heights. Needham is 1.9 miles away and Newton 1.9. People travelling from Brookline, Dover, Dedham and Watertown are all inside 5 miles. Needham Heights sits in Norfolk County, and the county's own provision is limited enough that this site draws from a wide area. What is available here is partial hospitalization, intensive outpatient and outpatient care. Medication for opioid dependence is available here alongside…

2.7 miHarvey Beach12 miLaurence G Hanscom FieldServes64 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · +6 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +62 more

Support services

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Harvard Pilgrim Health Care · Humana · TRICARE · UnitedHealthcare (UHC)

Detox3 photos

Tree House Recovery – Costa Mesa

1640 Superior Avenue, Costa Mesa, California, 92627

4.9★★★★★~~161~~

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+6

Tree House Recovery – Costa Mesa is based on 1640 Superior Avenue in Costa Mesa, Orange County. The facility offers partial hospitalization program (PHP), intensive outpatient program (IOP), outpatient services (OP), virtual outpatient (telehealth) and dual diagnosis treatment. Care is provided on an outpatient basis, so people continue living at home. This location is registered for substance use treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse…

1.9 miNorth Star Beach4.3 miJohn Wayne Orange County International AirportServes4 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +35 more

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · +3 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · +29 more

Support services

Insurance accepted

Ambetter (Centene) · AmeriHealth · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · GEHA · Health Net (Centene) · Moda Health · PacificSource · +4 more

Detox4 photos

Buckeye Recovery Network – Huntington Beach

19322 Beach Boulevard, Huntington Beach, California, 92648

4.9★★★★★~~149~~

CARF accredited

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICAREState Funded+2

Co-occurring DisordersMATTrauma-informed+7

Buckeye Recovery Network – Huntington Beach is based on 19322 Beach Boulevard in Huntington Beach, Orange County. The facility offers partial hospitalization program (PHP), intensive outpatient program (IOP), outpatient services (OP), medication-assisted treatment (MAT), virtual outpatient (telehealth) and dual diagnosis treatment. Care is provided on an outpatient basis, so people continue living at home. This location is registered for both substance use and mental health treatment. Details on this page are drawn from the federal…

2.0 miHuntington City Beach6.8 miJohn Wayne Orange County International AirportServes6 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · PTSD Treatment · +3 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +46 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Intervention Services · Nutrition and Fitness Counseling · Peer Support · +8 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · GEHA · Magellan Health · MultiPlan / PHCS · TRICARE · UMR · UnitedHealthcare (UHC)

Meta Addiction Treatment – North Reading

55 Concord Street, North Reading, Massachusetts, 1864

4.9★★★★★~~143~~

Joint Commission

DetoxPHPIOP+4

Accepts InsuranceAccepts TRICAREAccepts State Insurance+2

Co-occurring DisordersMATTrauma-informed+7

Meta Addiction Treatment sits at 55 Concord Street, North Reading — around 2.0 miles from Reading and 2.1 from Wilmington. The practical catchment runs to roughly 5 miles, covering Lynnfield, Wakefield, Woburn and Burlington. The facility falls within Middlesex County for the purposes of state and county-funded treatment. The facility runs partial hospitalization, intensive outpatient and outpatient care. SAMHSA holds the federal registration; the Massachusetts Bureau of Substance Addiction Services the state license. Medication-assisted treatment…

2.7 miSkug River11 miLaurence G Hanscom FieldServes62 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · +7 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · PTSD Treatment · Trauma Treatment

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Dual Diagnosis Rehab · +56 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · +2 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Harvard Pilgrim Health Care · TRICARE · Tufts Health Plan

Avenues Recovery Center at Lake Ariel – Lake Ariel

50 Industrial Park Road, Lake Ariel, PA, 18436

4.8★★★★★~~411~~

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICARESliding Scale+1

Co-occurring DisordersMATTrauma-informed+7

Records place Avenues Recovery Center at Lake Ariel at 50 Industrial Park Road, Lake Ariel, Pennsylvania. Provision here is recorded as detox, residential treatment and intensive outpatient. Medication for opioid use disorder is offered here alongside talking treatment. Care is delivered on an inpatient basis, with people living on site for the length of the stay. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Veterans and military families…

7.8 miWest Fork Lehigh River18 miWilkes-Barre/Scranton International AirportServes12 towns

Substances treated

Levels of care

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Groups served

Support services

Case Management · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Practical Support · PrEP Services · +5 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Capital District Physicians' Health Plan (CDPHP) · Carelon Behavioral Health · Emblem Health · First Health · Geisinger Health Plan · Highmark Health · Humana · PA Health & Wellness · +3 more

Beachside Detox – West Palm Beach

1101 54th Street, West Palm Beach, FL, 33407

4.8★★★★★~~398~~

Joint Commission

DetoxResidentialPHP+4

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+9

The site sits at 1101 54th Street in West Palm Beach, Florida. The services listed are residential treatment, partial hospitalization, intensive outpatient and sober living. The listing covers both substance use and mental health treatment. People stay on site for the duration, which is what inpatient care means here. Remote appointments appear on the record, useful where travel is difficult. Group and family work are both recorded. Licensing sits with the Florida Department of Children…

1.5 miPeanut Island5.6 miPresident Donald J. Trump International AirportServes7 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Chronic Pain and Substance Use · +28 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Abstinence-Based Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · +58 more

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · +5 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · +65 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +9 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · Highmark Health · TRICARE

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4.8★~~(290)~~

DetoxHospital detoxInpatient+5Accepts InsuranceAccepts Medicaid+5

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4.8★~~(201)~~

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4.9★~~(68)~~

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DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

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4.8★~~(174)~~

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4.9★~~(367)~~

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20132 Redlands Drive, Newport Beach, California, 92660

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4.9★~~(64)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

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Pomarri Outpatient Services – Orem

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4.8★~~(205)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Warner Park Recovery Center – Woodland Hills

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5.0★~~(328)~~

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4.8★~~(177)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+2

Found Recovery – Agoura Hills

27489 Agoura Road Suite 205, Agoura Hills, California, 91301

5.0★~~(30)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

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5.0★~~(98)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts TRICARE+3

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Sober Life Recovery Solutions LLC – San Diego

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DetoxPHPIOP+3Accepts InsuranceAccepts Medicare+4

Elevate Recovery Center – North Billerica

267 Boston Road, North Billerica, Massachusetts, 1862

4.8★~~(104)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Principles Recovery Center – Fort Lauderdale

4343 South State Road 7, Fort Lauderdale, FL, 33314

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PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Acworth Outpatient Detox – Acworth

6060 Lake Acworth Drive, Suite H, Acworth, Georgia, 30101

4.9★~~(244)~~

DetoxResidentialOutpatient+1Accepts InsuranceAccepts TRICARE+2

Tree House Recovery NC – Wilmington

1118 North 4th Street, Wilmington, North Carolina, 28401

5.0★~~(38)~~

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Provive Wellness of Brentwood – Brentwood

210 Jamestown Park Road, Brentwood, Tennessee, 37027

4.8★~~(81)~~

DetoxPHPIOP+4Accepts InsuranceAccepts TRICARE+3

Clearbrook Treatment Center – Wilkes Barre

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3151 Airway Avenue Suite D-1, Costa Mesa, California, 92626

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Resilience Recovery Center – Fair Lawn

22-10 Route 208, Fair Lawn, NJ, 7410

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Royal AZ LLC – Prescott (831 Gail Gardner Way)

831 Gail Gardner Way, Prescott, Arizona, 86305

4.9★~~(149)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

Top of the World Ranch – 36th Street, Milan

16016 36th Street, Milan, Illinois, 61264

4.8★~~(174)~~

DetoxResidentialTelehealth+2Accepts InsuranceAccepts TRICARE+1

Gratitude Lodge – Newport Beach (20182 Kline Drive)

20182 Kline Drive, Newport Beach, California, 92660

4.9★~~(142)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+2

Journey Hillside Tarzana LLC – Tarzana

4706 Viviana Drive, Tarzana, California, 91356

5.0★~~(53)~~

DetoxResidentialTelehealth+1Accepts InsuranceSliding Scale+1

STR Behavioral Health – Levittown

1400 Veterans Highway, Levittown, PA, 19056

4.8★~~(316)~~

DetoxPHPIOP+2Accepts InsuranceAccepts Medicare+3

Nashville Addiction Clinic – Nashville

5515 Edmondson Pike Unit 118, Nashville, TN 37211, United States

4.9★~~(301)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Adolescent Wellness Academy (AWA) – Miami

9350 Sunset Drive, Miami, FL, 33173

4.9★~~(82)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+3

Decision Point LLC – Prescott

505 Whipple Street, Prescott, Arizona, 86301

4.7★~~(173)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

Tree House Recovery – Nashville

6030 Neighborly Avenue, Nashville, Tennessee, 37209

4.9★~~(56)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts TRICARE+2

Northpoint Recovery – Edmonds

7416 212th Street SW, Edmonds, WA, 98026

4.8★~~(1,418)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

Luna Recovery for Women – North Andover

1270 Turnpike Street, North Andover, Massachusetts, 1845

4.8★~~(54)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+1

STR Behavioral Health – Mahanoy City

5 White Owl Drive, Mahanoy City, PA, 17948

4.8★~~(457)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Boca Recovery Center – Absecon

30 West Jimmie Leeds Road, Absecon, NJ, 8205

4.9★~~(518)~~

DetoxResidentialAftercareAccepts InsuranceAccepts Medicaid+3

AISOL LLC – West Palm Beach

4461 Medical Center Way, West Palm Beach, FL, 33407

4.8★~~(320)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

South Coast Behavioral Health – Costa Mesa

Costa Mesa, California, 92626

4.9★~~(391)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+1

Spinal Interventions – Provo

280 West River Park Drive, Provo, Utah, 84604

4.8★~~(1,292)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicare+2

Harbor Wellness and Recovery Ctr LLC – Holmdel

2139 Highway 35 North, Holmdel, NJ, 7733

4.9★~~(54)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Recovery Centers of America – Earleville

314 Grove Neck Road, Earleville, MD, 21919

4.7★~~(445)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+2

Created for Greater Health Systems – Baltimore

5411 Old Fredrick Road, Baltimore, MD, 21229

4.8★~~(36)~~

ResidentialIOPOutpatient+4Accepts MedicaidState Funded

MATClinics – Annapolis

107 Ridgely Avenue, Annapolis, MD, 21401

4.9★~~(37)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Mayflower Recovery Center – Wilmington

362 Middlesex Avenue, Wilmington, Massachusetts, 1887

4.8★~~(180)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Retreat of Broward Inc – Pompano Beach

100 NW 17th Avenue, Pompano Beach, FL, 33069

4.8★~~(188)~~

DetoxHospital detoxInpatient+2Accepts InsuranceAccepts TRICARE+1

Spero Health – Madisonville

436 North Main Street, Madisonville, Kentucky, 42431

4.9★~~(67)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

FOY Wellness and Recovery – Agoura Hills

Agoura Hills, California, 91301

5.0★~~(30)~~

PHPIOPOutpatient+2Accepts InsuranceSelf-Pay

Social Recovery Center – Springfield

841 Mountain Avenue, Springfield, NJ, 7081

4.9★~~(49)~~

PHPIOPOutpatient+2Accepts InsuranceAccepts Medicaid+4

Royal WA Lacey – Olympia

8645 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Spero Health – Seymour

11618 Chapman Highway, Seymour, Tennessee, 37865

5.0★~~(34)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

White Sands Alcohol and Drug Rehab – Brandon

1310 East Lumsden Road, Brandon, FL, 33511

4.8★~~(50)~~

PHPIOPOutpatient+3Accepts InsuranceAccepts TRICARE+2

A Brighter Start Health and Wellness – New Bern

1414 McCarthy Boulevard, New Bern, North Carolina, 28562

4.8★~~(38)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+6

Asana Recovery – Fountain Valley

18101 Magnolia Street, Fountain Valley, California, 92708

4.8★~~(38)~~

DetoxPHPIOP+3Accepts InsuranceAccepts TRICARE+2

Lake Hughes Recovery – Gorman

49713 Gorman Post Road, Gorman, California, 93243

4.9★~~(48)~~

DetoxHospital detoxInpatient+2Accepts MedicaidAccepts State Insurance+1

Gratitude Lodge – Long Beach

3849 Chatwin Avenue, Long Beach, California, 90808

4.8★~~(123)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+2

Milton Palm Beach Recovery – North Palm Beach

521 Northlake Blvd, North Palm Beach, FL, 33408

4.7★~~(86)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+3

Monterey Bay Recovery and Rehab – Aptos

9057 Soquel Drive, Aptos, California, 95003

5.0★~~(27)~~

PHPIOPOutpatient+2Accepts InsuranceSelf-Pay

Victory Recovery Partners – Farmingville

100 Granny Road, Farmingville, NY, 11738

4.7★~~(367)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

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Common questions

Answered from what is listed here.

Can you have chronic pain and a substance use disorder at the same time?

Yes, and the combination is common. NIDA lists chronic pain among the health conditions that frequently occur alongside substance use disorders, and states that almost half of individuals with opioid use disorder also live with chronic pain. SAMHSA's chronic pain advisory says both conditions need to be addressed together rather than one at a time.

Treatment for pain and treatment for a substance use disorder can support or conflict with each other, which is why one coordinated plan is recommended.

Chronic Pain and Substance Usehttps://rehabseekers.com/addictions/pain-and-addiction/chronic-pain/

How do people develop an addiction to painkillers?

Taking prescription opioids long-term for chronic pain is associated with developing opioid use disorder, according to NIDA. Chronic pain and the emotional distress around it may change how the brain processes stress and reward, raising that likelihood. In one FDA-required study, roughly 3% to 6% of individuals starting long-term opioid therapy newly met criteria over 12 months.

FDA reported that a personal history of a substance use disorder is one of the strongest and most consistent risk factors for misuse on long-term opioid therapy.

Prescription Opioidshttps://rehabseekers.com/addictions/opioid/prescription-opioids/

What is the difference between acute, subacute and chronic pain?

CDC defines acute pain as lasting less than 1 month, subacute pain as lasting 1 to 3 months, and chronic pain as lasting more than 3 months. The distinction matters because prescribing guidance differs by duration: for acute pain, quantity should not exceed the expected days of severe pain.

CDC's National Center for Health Statistics reported that 24.3% of US adults had chronic pain in 2023, and 8.5% had high-impact chronic pain.

What does the CDC guideline say about prescribing opioids for chronic pain?

The 2022 CDC Clinical Practice Guideline sets out 12 recommendations. Nonopioid and nonpharmacologic therapies are preferred for subacute and chronic pain, with opioids considered only when expected benefits for pain and function outweigh risks. Clinicians should start with immediate-release opioids at the lowest effective dosage and review benefits and risks within 1 to 4 weeks.

CDC states the guideline is voluntary, does not replace clinical judgment, and should not be applied as an inflexible standard by health systems, pharmacies or payers.

Opioids for Pain Managementhttps://rehabseekers.com/addictions/pain-and-addiction/pain-management/

Does the CDC opioid guideline apply to cancer pain?

No. The 2022 CDC guideline does not apply to pain from sickle cell disease, cancer pain, palliative care or end-of-life care. It was written for clinicians treating outpatients aged 18 or older who have acute, subacute or chronic pain, and it is not focused on opioids prescribed for opioid use disorder.

CDC separately warns against policies derived from the guideline that could harm patients, including rapid tapering or abrupt discontinuation.

Chronic Pain and Substance Usehttps://rehabseekers.com/addictions/pain-and-addiction/chronic-pain/

Can you stop opioid pain medicine cold turkey?

No. CDC states opioid therapy should not be discontinued abruptly, and dosages should not be reduced rapidly from higher doses, unless there are signs of a life-threatening issue. FDA reiterated in July 2025 that rapid reduction or abrupt discontinuation in physically dependent patients has led to serious withdrawal, uncontrolled pain and suicide.

Speak with the prescriber before changing anything. A more rapid taper over 2 to 3 weeks is reserved for cases such as a serious adverse event.

Medically Supervised Opioid Taperinghttps://rehabseekers.com/medications/mat/opioid-tapering/

How slowly should you taper off opioid pain medicine?

After a year or more of opioid use, CDC and HHS state that tapers of about 10% per month or slower are likely to be better tolerated. The HHS clinician guide describes common schedules reducing the dose by 5% to 20% every 4 weeks. After only weeks to months of use, a faster taper of 10% per week may suit some individuals.

Tapers can be paused and restarted when someone is ready, and the taper still counts as progressing while the dose moves toward a safer level.

Medically Supervised Opioid Taperinghttps://rehabseekers.com/medications/mat/opioid-tapering/

How long does withdrawal last when you taper opioids?

Early opioid withdrawal symptoms usually resolve within 5 to 10 days, according to the HHS clinician guide, though they can last longer. Symptoms such as dysphoria and insomnia can persist for weeks to months. A gradual taper is designed to keep those symptoms manageable rather than letting them come on all at once.

Lofexidine carries an FDA-approved indication for up to 14 days to mitigate opioid withdrawal symptoms in adults.

Lofexidine (Lucemyra)https://rehabseekers.com/medications/mat/lofexidine/

Will my doctor drop me if I want to taper?

No. The HHS clinician guide instructs clinicians not to dismiss patients from care during a taper and to keep coordinating their care throughout. Tapering is more likely to go well when the patient takes part in decisions such as which medicine is lowered first and how quickly the reduction happens.

SAMHSA adds that clinicians should make clear the opioid is being stopped, not the pain care itself.

Opioids for Pain Managementhttps://rehabseekers.com/addictions/pain-and-addiction/pain-management/

What are non-opioid options for chronic pain?

CDC lists exercise and exercise therapy, mind-body practices such as yoga and tai chi, weight loss, cognitive behavioral therapy, manual therapies, mindfulness-based stress reduction, acupuncture, massage and spinal manipulation. Nonopioid medications include topical and oral NSAIDs, acetaminophen, tricyclic and SNRI antidepressants, gabapentin and pregabalin, and capsaicin and lidocaine patches.

CDC notes these therapies are not always covered by insurance, and cost, transport and rural location can limit access.

Cognitive Behavioral Therapy (CBT)https://rehabseekers.com/therapies/evidence-based-therapy/cbt/

Can buprenorphine treat both pain and opioid use disorder?

Yes, in some cases. SAMHSA's advisory says buprenorphine can serve as an analgesic and can benefit individuals who have both chronic pain and a substance use disorder. Its pain-relieving effect lasts about 6 to 8 hours, so it is given three to four times a day when used mainly for pain, rather than once daily.

VA guidance notes that chronic pain is often managed on lower buprenorphine doses than opioid use disorder, and low doses are generally not appropriate for treating opioid use disorder.

Suboxone and Buprenorphinehttps://rehabseekers.com/medications/mat/buprenorphine/

Which buprenorphine products are approved for pain?

Belbuca buccal film and Butrans transdermal patch are the FDA-approved buprenorphine products indicated for pain severe enough to require daily, around-the-clock, long-term opioid treatment when alternatives are inadequate. Belbuca is dosed every 12 hours, with starting doses of 150 or 300 mcg depending on prior opioid use, and one Butrans patch is worn continuously for 7 days.

Products approved for opioid use disorder are different and include Suboxone film, Zubsolv, generic buprenorphine-naloxone, Sublocade and Brixadi.

Suboxone and Buprenorphinehttps://rehabseekers.com/medications/mat/buprenorphine/

Is naltrexone or Vivitrol okay for chronic pain?

No. SAMHSA's advisory states that naltrexone is not meant for managing pain and is not a viable option for someone currently prescribed opioids, because it blocks opioid effects. It should be started only after at least 7 to 10 days free of opioids to avoid precipitated withdrawal.

NIDA adds that individuals taking naltrexone who may need opioid pain medicine after surgery may be advised to stop it beforehand.

Naltrexone Treatmenthttps://rehabseekers.com/medications/mat/naltrexone/

What is opioid-induced hyperalgesia?

Opioid-induced hyperalgesia is increased sensitivity to pain that NIDA says may develop with chronic opioid use. In other words, the medicine intended to reduce pain can over time make the body more reactive to it, which is one reason higher doses do not always produce better relief.

CDC advises against dosage increases beyond the point of diminishing returns, and recommends a multimodal plan drawing on nonopioid and nonpharmacologic treatments.

Chronic Pain and Substance Usehttps://rehabseekers.com/addictions/pain-and-addiction/chronic-pain/

Does Medicare cover acupuncture for back pain?

Yes, for chronic low back pain lasting 12 weeks or longer. Since January 21, 2020, Medicare has covered up to 12 acupuncture visits in 90 days, with 8 additional sessions if the patient improves. CMS caps coverage at no more than 20 treatments in any 12-month period.

Acupuncture is one of the nonpharmacologic options CDC lists for subacute and chronic pain, alongside exercise therapy and mindfulness-based stress reduction.

Acupuncturehttps://rehabseekers.com/therapies/specialized-therapy/acupuncture/

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Pain and addiction treatment is care for someone who has ongoing pain and a substance use disorder at the same time, handled as one plan rather than two separate ones. NIDA lists chronic pain among the health conditions that commonly occur alongside substance use disorders, and says almost half of those with opioid use disorder also live with chronic pain.

That overlap is why the two cannot be split apart. federal chronic pain advisory states that treatment for chronic pain and treatment for a substance use disorder can support or conflict with each other, so both conditions need to be addressed together. Stopping the opioid without a pain plan leaves the pain untreated; treating the pain without addressing the use disorder leaves the risk in place.

This guide covers what the combined condition involves, what federal prescribing guidance says, how tapering is done safely, which non-opioid and buprenorphine options exist, what treatment costs, who pays, and how to find a program that coordinates both sides.

What Is Pain and Addiction Treatment?

It is treatment that addresses pain and substance use in a single coordinated plan, usually by a team. federal advisory says that team may include a primary care provider, an addiction specialist, a pain clinician, a pharmacist, a psychiatrist or psychologist, and a physical or occupational therapist. NIDA states that when someone has a co-occurring disorder or health condition, it is usually better to treat them at the same time than separately.

CDC defines acute pain as lasting less than one month, subacute pain as one to three months, and chronic pain as more than three months. The National Center for Health Statistics reported that 24.3% of US adults had chronic pain in 2023 and 8.5% had high-impact chronic pain, with both more common as urbanization decreased and highest in nonmetropolitan areas.

Is Physical Dependence the Same as Addiction?

No. HHS defines physical dependence as the body adapting to daily, around-the-clock opioid use for more than a few days, with withdrawal if use stops abruptly, and treats that as distinct from opioid use disorder. An FDA-required study of individuals starting long-term opioid pain therapy found roughly 3% to 6% newly met standard DSM-5 criteria for moderate-to-severe opioid use disorder over 12 months, and FDA reported that a personal history of a substance use disorder was one of the strongest and most consistent risk factors.

NIDA adds that chronic opioid use may increase sensitivity to pain, a condition called opioid-induced hyperalgesia, and that chronic pain and related distress may change how the brain processes stressful and rewarding experiences. federal health agencies recommends screening and assessment for all substance use disorders as a routine part of every pain assessment, using tools such as the PEG pain scale, the NIDA Quick Screen, AUDIT, the Opioid Risk Tool, GAD-7 and PHQ-9. Chronic Pain and Substance Use covers the long-term side of this picture.

What Does the CDC Opioid Guideline Say?

The CDC Clinical Practice Guideline for Prescribing Opioids for Pain, published in 2022, contains 12 recommendations across four areas: whether to start opioids, selecting opioids and dosage, duration and follow-up, and assessing risk and harms. It is written for clinicians treating outpatients aged 18 or older with acute, subacute or chronic pain, and replaced the 2016 guideline.

Recommendation 1 directs clinicians to maximize nonpharmacologic and nonopioid therapies for many common types of acute pain. Recommendation 2 states nonopioid therapies are preferred for subacute and chronic pain. Recommendation 3 says to start with immediate-release rather than extended-release opioids, and Recommendation 4 says to use the lowest effective dosage for opioid-naive patients. Recommendation 7 asks clinicians to evaluate benefits and risks within 1 to 4 weeks of starting or increasing a dose.

The guideline does not apply to sickle cell disease pain, cancer pain, palliative care or end-of-life care, and is not focused on opioids prescribed for opioid use disorder. CDC states it is voluntary, does not replace clinical judgment, and warns against policies derived from it that could harm patients, including rapid tapering or abrupt discontinuation. Recommendation 12 says clinicians should offer or arrange treatment with evidence-based medications for opioid use disorder, and CDC states detoxification alone, without those medications, is not recommended.

Risk steps built into the guideline. Recommendation 8 asks clinicians to evaluate risk of opioid-related harms, discuss it, and offer naloxone. Recommendation 9 asks for a state prescription drug monitoring program check when starting opioids and periodically during chronic therapy. Recommendation 11 advises particular caution when opioid pain medicine and benzodiazepines are prescribed together.

How Do You Taper Off Opioid Pain Medicine Safely?

Slowly, with the prescriber, and without stopping suddenly. CDC Recommendation 5 states opioid therapy should not be discontinued abruptly and dosages should not be reduced rapidly from higher dosages unless there are signs of a life-threatening issue. CDC and HHS state that tapers of about 10% per month or slower are likely to be better tolerated when a person has taken opioids for a year or longer.

The HHS clinician guide says common tapers reduce the dose by 5% to 20% every 4 weeks, and describes a faster option of 10% of the original dose per week, moving to 10% of the remaining dose weekly once 30% of the original is reached, mainly after opioid use of weeks to months. Tapers may be paused and restarted, and a taper counts as progressing as long as the dose is moving toward a safer level. A rapid taper over 2 to 3 weeks is reserved for cases where the risks of continuing outweigh the risks of the taper, and ultrarapid detoxification under anesthesia carries substantial risks and should not be used.

What the Risks Are

HHS lists acute withdrawal, worse pain, serious psychological distress and thoughts of suicide as risks of rapid tapering or sudden discontinuation. In April 2019 FDA announced harm reported from sudden discontinuation and required label changes on gradual, individualized tapering, and in a July 31, 2025 Drug Safety Communication reiterated that rapid dose reduction or abrupt discontinuation has resulted in serious withdrawal symptoms, uncontrolled pain and suicide in physically dependent patients.

What Withdrawal Looks Like

Early opioid withdrawal symptoms usually resolve in 5 to 10 days but can last longer, and symptoms such as dysphoria and insomnia can take weeks to months. Lofexidine has an FDA-approved indication for up to 14 days to mitigate opioid withdrawal symptoms in adults; Lofexidine (Lucemyra) and clonidine detox are both recorded as supports during this phase. HHS cautions that tolerance can be lost in as little as a week, so returning to a previous higher dose carries risk and naloxone should be considered. Where someone also takes benzodiazepines, one or both may need tapering, with plans coordinated among prescribers. HHS also says clinicians should not dismiss patients from care during a taper. Medically supervised opioid tapering is listed separately in the directory.

What Are the Non-Opioid and Buprenorphine Options?

CDC lists exercise and exercise therapy, mind-body practices such as yoga and tai chi, weight loss, cognitive behavioral therapy, manual therapies, mindfulness-based stress reduction, acupuncture, massage and spinal manipulation among nonpharmacologic options for subacute and chronic pain. On the medication side it lists topical and oral NSAIDs, acetaminophen, tricyclic and SNRI antidepressants, anticonvulsants such as gabapentin and pregabalin, and capsaicin and lidocaine patches.

federal advisory says acetaminophen should not exceed 4 grams per day, or 2 grams per day with liver disease, and notes many muscle relaxants have significant misuse potential, with some increasing the effects of opioids. FDA approved Journavx (suzetrigine) 50 mg oral tablets, a first-in-class non-opioid analgesic, for moderate to severe acute pain in adults. CDC notes nonpharmacologic therapies are not always covered by insurance, and that cost, transport and rural location can limit access. Cognitive Behavioral Therapy (CBT) and acupuncture both appear in program listings.

Buprenorphine for Pain and for Opioid Use Disorder

Belbuca buccal film and Butrans transdermal patch are the FDA-approved buprenorphine products for pain severe enough to need daily, around-the-clock, long-term opioid treatment when alternatives are inadequate; Belbuca is dosed every 12 hours and Butrans is worn one patch for 7 days. For opioid use disorder, FDA-approved products include Suboxone film, Zubsolv tablets, generic buprenorphine and buprenorphine-naloxone, Sublocade injection and Brixadi injection, the last given weekly or monthly by a health care provider under a REMS program.

federal health agencies says buprenorphine can serve as an analgesic for some individuals and can benefit those with both a substance use disorder and chronic pain, with an analgesic effect lasting about 6 to 8 hours, so it is given three to four times a day when used mainly for pain. VA guidance says buprenorphine for pain may be considered when there is a lack of progress on functional goals or inadequate relief on a full agonist, and that individuals with chronic pain often stabilize on lower doses than are used for opioid use disorder. Transitions matter: HHS says to wait at least 8 to 12 hours after short-acting full agonists and at least 36 hours after methadone before the first dose. Methadone for opioid use disorder is available only through a certified opioid treatment program, while naltrexone is not meant for pain management and is not an option for someone currently prescribed opioids.

How Much Does Pain and Addiction Treatment Cost?

Withdrawal management runs about $1,540 to $5,600 a week, or $220 to $800 a day. Residential care runs $6,000 to $30,000 a month. A partial hospitalization program is $7,000 to $15,000 a month, intensive outpatient $2,500 to $10,000, and ongoing outpatient care with medication management $1,200 to $5,500 a month, at $40 to $180 a day.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Medicare Part B covers methadone, buprenorphine and naltrexone in a doctor’s office or through an opioid treatment program, with Part D covering buprenorphine and naltrexone at the pharmacy; enrolled opioid treatment programs are covered for medications, drug testing, counseling, therapy, peer recovery support and intensive outpatient services. Medicare has also covered up to 12 acupuncture visits in 90 days for chronic low back pain lasting 12 weeks or longer since January 21, 2020, with 8 more if the patient improves and no more than 20 in any 12-month period. MACPAC states federal law requires state Medicaid programs to cover methadone, buprenorphine and extended-release injectable naltrexone, and KFF reports that as of state fiscal year 2024 nearly all states cover at least one standard oral buprenorphine product without prior authorization, with Alabama, Florida, Mississippi and Tennessee still applying some requirement. Prior authorization is more common for nonstandard forms. Self pay and sliding scale rates are the routes where no plan applies.

Why a prescription got cut to seven days. Medicare Part D plans limit an initial opioid fill for acute pain to a 7-day supply for anyone who has not filled an opioid in about 60 days, and apply a care coordination alert at 90 morphine milligram equivalents a day. A prescriber can request a coverage determination from the plan before prescribing when more is needed.

How Do I Find Pain and Addiction Treatment Near Me?

Start with the prescriber who manages the pain, or call the national helpline on 1-800-662-HELP, which CDC names for anyone who needs help with a substance use disorder. Ask whether the program coordinates with an existing pain clinician, whether buprenorphine or methadone is offered on site, and whether a pain psychologist is on the team, as CARF requires for its accredited interdisciplinary pain rehabilitation programs.

Programs handling both conditions are gathered on this page and split into Opioids for Pain Management and chronic pain listings, with state pages for Pain and Addiction, CA, Pain and Addiction, NY, Pain and Addiction, FL and Pain and Addiction, MD. Each listing shows the levels of care offered, accepted payments, licensing and accreditation, and distance to the nearest airport. Veterans and military tracks appear among these records noticeably more often than across the site, which fits the long prescribing histories intake teams see here.

What Is the Difference Between Tapering and Detox?

federal advisory explains that tapering is a slow decrease in a prescribed opioid dose, while detoxification is medical management of acute withdrawal from the medication. A taper happens over months in outpatient care with the dose moving down in steps; medical detox is a short supervised episode. CDC adds that detoxification alone, without medications for opioid use disorder afterwards, is not recommended, which is why aftercare and continuing care is recorded at effectively every program in this group.

References and Citations

Centers for Disease Control and Prevention — Clinical Practice Guideline for Prescribing Opioids for Pain, 2022; nonopioid treatment pages; National Center for Health Statistics chronic pain data brief, 2023.
U.S. Department of Health and Human Services — Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics, 2019.
federal health agencies — advisory on managing chronic pain in adults with or in recovery from substance use disorders; buprenorphine prescribing guidance.
National Institute on Drug Abuse — pages on co-occurring health conditions, chronic pain and medications for opioid use disorder.
U.S. Food and Drug Administration — Drug Safety Communications on opioid tapering (2019, 2025); buprenorphine and suzetrigine approvals.
Centers for Medicare & Medicaid Services, MACPAC and KFF — Medicare Part B and Part D opioid policies, acupuncture coverage and Medicaid buprenorphine coverage.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by program, length of stay and coverage.