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Fentanyl Detox Program

Fentanyl Detox Centers

Fentanyl sits inside the opioid class as far as SAMHSA data goes, and detoxification is recorded at that class level. The programs listed here are opioid detox programs, offering supervised withdrawal and medication for anyone coming off opioids, fentanyl included.

One practical difference is worth raising with any provider: fentanyl’s effect on induction timing for buprenorphine, which many programs now manage differently. Ask how they handle it. The Opioid Detox Program page lists the same providers with their medications and levels of care.

Rehab Centers Near You

Top 12 Drug and Alcohol Rehab Centers Offering Fentanyl Detox

Recovery Unplugged Nashville – Brentwood

255 Wilson Pike Circle, Brentwood, Tennessee, 37027

4.9★★★★★~~386~~

Joint Commission

DetoxHospital detoxInpatient+6

Accepts InsuranceAccepts MedicaidSelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Spanish spoken

The facility sits on Wilson Pike Circle, in the Maryland Farms area of Brentwood — an affluent Williamson County suburb immediately south of Nashville. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and dual diagnosis treatment. Both residential and outpatient care are recorded at this location. Recorded credentials include The Joint Commission, DEA and State substance use agency licence.Treatment addresses substance use alongside co-occurring mental health conditions, including anxiety disorders, co-occurring disorders…

3.7 miWhitfield Park8.9 miNashville International AirportServes13 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 · Carfentanil Rehab · +50 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +62 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +5 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 · Psychosocial Rehab Services · +4 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 · Adult Rehab · Couples Rehab · +74 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 · +8 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · ComPsych · Humana · Magellan Health · Optum · Sendero Health Plans · UnitedHealthcare (UHC)

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

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 · +5 more

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)

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

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

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

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 Telehealth · +21 more

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

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

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · +11 more

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

Support services

Insurance accepted

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

Gateway Treatment Facility – Pineville

210 Laurel Street, Pineville, Louisiana, 71360

5.0★★★★★36

CARF accredited

DetoxResidentialPHP+3

Accepts InsuranceAccepts MedicaidAccepts State Insurance+2

MATVeteransSeniors+6

Gateway Treatment Facility operates from 210 Laurel Street in Pineville, close enough to Ball and Alexandria to serve both. People travelling from Ball, Alexandria, Creola and Prospect are all inside 10 miles. Rapides County is the relevant authority here, which matters for anyone using state-funded care. Gateway Treatment Facility offers detox, residential treatment, partial hospitalization and sober living. Federal registration is held through SAMHSA and licensing through the Louisiana Department of Health. Buprenorphine, methadone or…

4.2 miLake Buhlow10 miAlexandria International AirportServes2 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Serious Mental Illness Treatment · Social Skills Training

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Rehab · Men's Residential Rehab · Men's Telehealth · +20 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · Intervention Services · +7 more

Insurance accepted

Medicaid · TRICARE

Clean Treatment Center – Thousand Oaks

123 Hodencamp Drive 205, Thousand Oaks, California, 91360

5.0★★★★★41

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICAREState Funded+3

Co-occurring DisordersMATTrauma-informed+9

Clean Treatment Center – Thousand Oaks is based on 123 Hodencamp Drive 205 in Thousand Oaks, Ventura 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 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…

2.4 miAcorn Acres Park29 miHollywood Burbank/Bob Hope AirportServes9 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +47 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Continuing Care · Crack Cocaine Detox Program · +39 more

Therapies

Mental health

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

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient 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 · +70 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 · +5 more

Insurance accepted

TRICARE

Coastal Detox Inc – Stuart

1131 SE Indian Street, Stuart, FL, 34997

4.8★★★★★~~290~~

Joint Commission

DetoxHospital detoxInpatient+5

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersMATMethadone+10

Spanish spoken

The address on record is 1131 SE Indian Street in Stuart, Florida. It is recorded as offering residential treatment, partial hospitalization and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. Care runs on site, with accommodation included for the duration. Family involvement is listed as part of the provision. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children and Families.

3.0 miSouth Fork Saint Lucie River34 miPresident Donald J. Trump International AirportServes7 towns

Substances treated

Levels of care

Therapies

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

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Social Skills Training · +1 more

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +78 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +5 more

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · CarePlus Health Plans · Cigna Healthcare · ComPsych · Emblem Health · First Health · Golden Rule Insurance Company · +10 more

Gratitude Lodge – Newport Beach (20132 Redlands Drive)

20132 Redlands Drive, Newport Beach, California, 92660

4.9★★★★★~~142~~

Joint Commission

DetoxHospital detoxInpatient+3

Accepts InsuranceAccepts TRICAREState Funded+2

Co-occurring DisordersMATTrauma-informed+10

Gratitude Lodge – Newport Beach (20132 Redlands Drive) operates from Redlands Drive in Newport Beach, an affluent coastal city built around its harbor. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and dual diagnosis treatment. Treatment is delivered in a residential setting, with people staying on site. This provider is accredited by The Joint Commission.Mental health conditions treated here include anxiety disorders, co-occurring disorders and depression, delivered alongside substance use care. The…

2.7 miNorth Star Beach1.1 miJohn Wayne Orange County International AirportServes4 towns

Substances treated

Levels of care

Therapies

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis 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 · Court Ordered Detox · +57 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +4 more

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · GEHA · NYSHIP · TRICARE · UMR · UnitedHealthcare (UHC)

Detox4 photos

Crystal Cove Recovery – Laguna Beach

540 Park Avenue, Laguna Beach, California, 92651

4.9★★★★★~~131~~

Joint Commission

DetoxHospital detoxInpatient+3

Accepts InsuranceAccepts TRICAREState Funded+2

Co-occurring DisordersMATTrauma-informed+9

Crystal Cove Recovery – Laguna Beach is based on 540 Park Avenue in Laguna Beach, Orange 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 substance use treatment. Details on this page are drawn from the federal treatment locator maintained by the Substance Abuse and Mental Health Services…

0.3 miMain Beach11 miJohn Wayne Orange County International AirportServes1 town

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 · Ativan (Lorazepam) Detox Program · +57 more

Therapies

Mental health

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

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · Court Ordered Detox · +50 more

Support services

Insurance accepted

TRICARE

Live Again Detox – Nashville

1618 17th Avenue South, Nashville, Tennessee, 37212

4.8★★★★★~~143~~

Joint Commission

DetoxResidentialPHP+3

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

The facility sits on 17th Avenue South, in the Midtown area of Nashville — the state capital, set on the Cumberland River. The facility offers addiction detox, alcohol withdrawal management, drug withdrawal management and medically supervised detox. Both residential and outpatient care are recorded at this location. Recorded credentials include The Joint Commission and State substance use agency licence.The service records care for anxiety disorders, co-occurring disorders and depression in addition to substance use treatment.…

0.8 miMeridian Hill6.6 miNashville International AirportServes12 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Active Duty Military Detox · 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 · Couples Rehab · Court Ordered Detox · +53 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · Recovery Coaching · +5 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

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · MultiPlan / PHCS · TRICARE · UnitedHealthcare (UHC)

Serenity Ranch Recovery – Mammoth Cave

7415 Nolin Dam Road, Mammoth Cave, Kentucky, 42259

4.8★★★★★~~124~~

Joint Commission

DetoxResidentialPHP+3

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Deaf and HoH

Serenity Ranch Recovery – Mammoth Cave operates from 7415 Nolin Dam Road in Mammoth Cave, Edmonson County, Kentucky, offering addiction detox, medication-assisted treatment (MAT), outpatient services (OP), partial hospitalization program (PHP) and residential inpatient. Care is delivered on site, so people stay for the duration of the program. Anyone searching around Mammoth Cave may want to check availability and admission criteria directly. Details here draw on the Substance Abuse and Mental Health Services Administration treatment…

6.0 miNolin River64 miOwensboro Daviess County AirportServes6 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

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

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · MultiPlan / PHCS · Surest (formerly Bind) Health Plan · TRICARE · UnitedHealthcare (UHC)

More Addiction Rehabs Offering Fentanyl Detox 13–80 of 2,420

Pomarri Outpatient Services – Orem

1472 East 820 North, Orem, Utah, 84097

4.8★~~(205)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+2

Found Recovery – Agoura Hills

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

5.0★~~(30)~~

DetoxPHPIOP+3Accepts InsuranceSelf-Pay

Summer House – Miami

13550 Memorial Highway, Miami, FL, 33161

5.0★~~(953)~~

DetoxHospital detoxInpatient+2Accepts InsuranceSelf-Pay

Cirque Lodge Studio – Orem

777 North Palisade Drive, Orem, Utah, 84097

4.8★~~(92)~~

DetoxResidentialPHP+3Accepts InsuranceSelf-Pay

Pacific Crest Trail Detox – Portland

10600 SE McLoughlin Boulevard, Suite 207, Portland, Oregon, 97222

4.8★~~(75)~~

DetoxHospital detoxInpatient+4Accepts InsuranceAccepts Medicaid+3

Acworth Outpatient Detox – Acworth

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

4.9★~~(244)~~

DetoxResidentialOutpatient+1Accepts InsuranceAccepts TRICARE+2

Clearbrook Treatment Center – Wilkes Barre

1100 East Northampton Street, Wilkes Barre, PA, 18706

4.7★~~(447)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+3

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

Avenues Recovery Center at Norfolk – Norfolk

1516 Harmon Street, Norfolk, Virginia, 23518

4.7★~~(226)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Decision Point LLC – Prescott

505 Whipple Street, Prescott, Arizona, 86301

4.7★~~(173)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

Northpoint Recovery – Edmonds

7416 212th Street SW, Edmonds, WA, 98026

4.8★~~(1,418)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

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

Ascendant New York – New York (113 East 60th Street)

113 East 60th Street, New York, NY, 10022

4.8★~~(307)~~

DetoxResidentialTelehealth+1Accepts 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

Recovery Centers of America – Earleville

314 Grove Neck Road, Earleville, MD, 21919

4.7★~~(445)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+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

Lake Hughes Recovery – Gorman

49713 Gorman Post Road, Gorman, California, 93243

4.9★~~(48)~~

DetoxHospital detoxInpatient+2Accepts MedicaidAccepts State Insurance+1

Compassionate Recovery Care – Hermitage

4777 Andrew Jackson Parkway, Hermitage, Tennessee, 37076

4.9★~~(57)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

Gratitude Lodge – Long Beach

3849 Chatwin Avenue, Long Beach, California, 90808

4.8★~~(123)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+2

Pacific Sands Recovery Center – Santa Ana

1909 West Carlton Place, Santa Ana, California, 92704

4.9★~~(80)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+2

ADICTIA Recovery Center – Alicante

Avenida Mutxamel, 1, Oficina nº5, Alicante, ES

5.0★~~(45)~~

DetoxOutpatientSelf-Pay

Symetria Recovery – Chicago

3934 North Lincoln Avenue, Chicago, Illinois, 60613

4.9★~~(29)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicare+3

Amity Palm Beach – West Palm Beach

2901 Broadway Avenue, West Palm Beach, FL, 33407

4.8★~~(79)~~

DetoxResidentialTelehealth+1Accepts InsuranceState Funded+1

Banyan Delaware – Milford

21 West Clarke Avenue, Milford, DE 19963

4.6★~~(407)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+2

MCAT LLC – Cohasset

1 Chief Justice Cushing Highway, Cohasset, Massachusetts, 2025

4.8★~~(73)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+3

Alchemy Addiction Recovery – Slidell

115 Christian Lane, Slidell, Louisiana, 70458

5.0★~~(20)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+2

Align Recovery Centers – Sonoma

Sonoma, California, 95476

4.7★~~(48)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts TRICARE+1

Allure Detox – West Palm Beach

900 54th Street, West Palm Beach, FL, 33407

4.8★~~(236)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+1

Haven Detox – West Palm Beach

1325 Haverhill Road, West Palm Beach, FL, 33417

4.7★~~(425)~~

DetoxResidentialTelehealth+2Accepts InsuranceAccepts TRICARE+2

Opus Health LLC – Costa Mesa

Costa Mesa, California, 92626

4.8★~~(196)~~

DetoxResidentialAftercareAccepts InsuranceSelf-Pay

Archstone Behavioral Health – Lake Worth

501 West Perry Street, Lake Worth, FL, 33462

4.6★~~(170)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts TRICARE+1

Liberty Bay Recovery Center – Portland

343 Forest Avenue, Portland, ME 04101

4.6★~~(154)~~

DetoxHospital detoxInpatient+6Accepts InsuranceAccepts Medicaid+4

RCC Community Services Inc – Pikesville

3 Greenwood Place, Pikesville, MD, 21208

4.9★~~(35)~~

DetoxOutpatientTelehealth+1Accepts MedicaidAccepts Medicare+1

Behavioral Health and – Chicago

2701 West 68th Street, Chicago, Illinois, 60629

4.6★~~(131)~~

DetoxHospital detoxInpatient+5Accepts InsuranceAccepts Medicaid+3

Transformations Care Inc – Gardena

17921 South Avery Place, Gardena, California, 90248

4.8★~~(31)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts TRICARE+3

Asana Recovery | Outpatient Drug Rehab

1730 Pomona Ave, Costa Mesa, CA 92627, United States

4.6★~~(105)~~

DetoxHospital detoxInpatient+5Accepts InsuranceAccepts TRICARE+3

Windham Falls Recovery LLC – West Kill

2774 Route 42, West Kill, NY, 12492

4.9★~~(28)~~

DetoxResidentialTelehealth+1Accepts InsuranceSelf-Pay

Guardian Recovery – Towaco

53 Indian Lane East, Towaco, NJ, 7082

4.8★~~(87)~~

DetoxResidentialAftercareAccepts InsuranceSelf-Pay

InnerLife Recovery – San Pedro de Alcántara

Finca la Malagueña, C. Monterroso, Parcela 6, San Pedro de Alcántara, ES

5.0★~~(26)~~

DetoxResidentialAftercareSelf-Pay

Guardian Recovery – Portland

17 Bishop Street, Portland, ME 04103

4.6★~~(331)~~

DetoxResidentialIOP+2Accepts InsuranceAccepts Medicaid+1

Healing Oaks Clinic – San Diego

286 Euclid Avenue Suite 102, San Diego, California, 92114

4.7★~~(59)~~

DetoxIOPOutpatient+2Accepts MedicaidAccepts Medicare+1

Royal Life Centers – Olympia

8649 Martin Way East, Olympia, WA, 98516

4.7★~~(101)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+4

WisHope Recovery Center – Waukesha

223 Wisconsin Avenue, Waukesha, Wisconsin, 53186

4.6★~~(103)~~

DetoxPHPIOP+4Accepts InsuranceAccepts Medicaid+5

Intentional Longevity – Asheville

370 North Louisiana Avenue, Suites D-3 and D-4, Asheville, North Carolina, 28806

4.8★~~(46)~~

DetoxOutpatientTelehealth+1Accepts MedicaidAccepts Medicare+1

Middlesex Recovery PC – Woburn

20 Tower Office Park, Woburn, Massachusetts, 1801

4.8★~~(46)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+4

South Coast Counselling

693 Plumer St, Costa Mesa, CA 92627, United States

4.7★~~(97)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+2

Serenity Knolls Treatment Center – Forest Knolls

P.O. Box 640, Forest Knolls, California, 94933

4.8★~~(38)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+1

SolutionsRetreat Inc – Nashville

5405 Forest Acres Drive, Nashville, Tennessee, 37220

4.8★~~(63)~~

DetoxResidentialAftercareAccepts InsuranceAccepts TRICARE+3

Nexstep Medical Detox – Orem

1080 East 800 North, Orem, Utah, 84057

4.6★~~(65)~~

DetoxResidentialPHP+4Accepts InsuranceAccepts Medicaid+3

Smiles for Live – San Pedro de Alcántara

C/ Bahía, 7, 1º Derecha, San Pedro de Alcántara, ES

4.9★~~(37)~~

DetoxOutpatientAftercareSelf-Pay

Desert Willow Wellness – Palm Springs

Palm Springs, California, 92262

5.0★~~(17)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+1

Hotel California by the Sea – Huntington Beach (18801 Flagstaff Lane)

18801 Flagstaff Lane, Huntington Beach, California, 92646

5.0★~~(17)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+1

Hotel California by the Sea – Huntington Beach (19671 Ditmar Lane)

19671 Ditmar Lane, Huntington Beach, California, 92646

5.0★~~(17)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts TRICARE+1

RockBridge Treatment and Recovery – Buffalo

8150 20th Street SE, Buffalo, Minnesota, 55313

5.0★~~(17)~~

DetoxResidentialTelehealth+1Accepts InsuranceAccepts Medicaid+2

ChoicePoint – Fair Lawn

23-00 Route 208, Fair Lawn, NJ, 7410

4.6★~~(77)~~

DetoxPHPIOP+3Accepts InsuranceAccepts Medicaid+4

Ocean Recovery – Newport Beach

1115 West Balboa Boulevard, Newport Beach, California, 92661

4.7★~~(259)~~

DetoxResidentialAftercareAccepts InsuranceSelf-Pay

URP Lake Worth LLC – Lake Worth

Lake Worth, FL, 33461

4.7★~~(276)~~

DetoxResidentialAftercareAccepts InsuranceSelf-Pay

Amazing Grace Center – Portsmouth

802 Clare Avenue, Portsmouth, OH, 45662

4.6★~~(202)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Advent Health – Deland

701 West Plymouth Avenue, Deland, FL, 32720

4.6★~~(4,025)~~

DetoxHospital detoxInpatient+3Accepts InsuranceAccepts Medicaid+4

SOAP MAT LLC – Vista

1939 West Vista Wahy Suite A, Vista, California, 92083

4.7★~~(83)~~

DetoxOutpatientTelehealth+1Accepts InsuranceAccepts Medicaid+3

Alcoholism Treatment Center – New York

255 West 36th Street, New York, NY, 10018

4.8★~~(25)~~

DetoxIOPOutpatient+2Accepts InsuranceAccepts Medicaid+5

Why Trust RehabSeekers.com?

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Common questions

Answered from what is listed here.

What is a fentanyl detox program?

A fentanyl detox program is medically supervised withdrawal management for someone physically dependent on fentanyl, using medication, monitoring and comfort care to get through withdrawal safely. It is usually the first stage of care, not the whole of it, and ends with a handover into ongoing opioid use disorder treatment.

ASAM states that opioid withdrawal management on its own is not a treatment method, and anyone receiving it should be told about the risk of returning to use.

Medical Detoxhttps://rehabseekers.com/programs/detox-centers/medical-detox/

What are the symptoms of fentanyl withdrawal?

Early symptoms include agitation, anxiety, muscle aches, watering eyes, insomnia, runny nose, sweating and yawning, according to MedlinePlus. Later symptoms include abdominal cramping, diarrhea, dilated pupils, goosebumps, nausea and vomiting. NIDA describes withdrawal after fentanyl dependence as extremely unpleasant.

Clinicians score severity with validated tools such as the Clinical Opioid Withdrawal Scale, which helps decide medication timing and the level of monitoring needed.

Opioid Detox Programhttps://rehabseekers.com/programs/detox-centers/detox-by-substance/opioid-detox/

Is fentanyl withdrawal dangerous?

Opioid withdrawal is very uncomfortable but not life threatening, MedlinePlus says. The main medical complications are vomiting with stomach contents aspirated into the lungs, and dehydration with electrolyte disturbances. Those risks are why supervision with fluids, anti-nausea medicine and monitoring is advised rather than going it alone.

The larger danger comes afterwards: tolerance falls during withdrawal, so returning to the same fentanyl amount carries a high overdose risk.

Hospital Detoxhttps://rehabseekers.com/programs/detox-centers/hospital-detox/

How long does fentanyl stay in your system?

A 2023 review reported that individuals entering treatment for illicit fentanyl tested positive in urine for fentanyl for an average of 7 days and for its metabolite norfentanyl for an average of 13 days, with some up to 26 days. That reflects heavy illicit use, not any single test.

Fentanyl is highly fat-soluble and moves into muscle and fat, which the review links to its long terminal elimination.

Fentanyl Rehabhttps://rehabseekers.com/addictions/opioid/illicit-opioids/fentanyl/

Why is fentanyl harder to detox from than heroin?

Fentanyl is 50 to 100 times more potent than morphine and, unlike heroin, is highly fat-soluble, moving into muscle and fat and clearing slowly. Published work suggests fentanyl released from tissue may behave like a long-acting opioid, which complicates when buprenorphine can safely be started.

A buprenorphine and naloxone label warns that individuals dependent on long-acting opioids may be more prone to precipitated and prolonged withdrawal at induction.

Heroin Detox Programhttps://rehabseekers.com/programs/detox-centers/detox-by-substance/heroin-detox/

What is precipitated withdrawal with fentanyl?

Precipitated withdrawal is sudden, intense withdrawal set off when buprenorphine displaces another opioid from brain receptors. SAMHSA says it can happen when opioids are still in the bloodstream or the person is not yet in early withdrawal. A 2025 case-series paper reports standard 2 to 4 mg starting doses may trigger it after fentanyl use.

The same paper notes fentanyl's prolonged elimination keeps that risk present for several days after the last use.

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

How long should you wait before starting Suboxone after fentanyl?

SAMHSA's baseline is at least 12 to 24 hours of abstinence plus early withdrawal signs before buprenorphine starts. After fentanyl, clinicians often wait longer: a 2025 case series advised at least 24 hours plus one objective sign such as sweating, goose bumps or yawning before the first dose.

A 2022 analysis of online reports found precipitated withdrawal described as far out as 168 hours, or 7 days, after the last opioid.

Suboxonehttps://rehabseekers.com/medications/mat/buprenorphine/suboxone/

What is low-dose buprenorphine initiation?

Low-dose initiation starts buprenorphine at very small amounts, sometimes 0.5 mg on day one while the other opioid continues, then builds the dose gradually to avoid precipitated withdrawal. A University of Maryland training deck says it usually takes place over 3 to 10 days, with some reports extending to a month.

That deck notes low-dose initiation is now the favored term for what was commonly called micro-dosing or micro-induction.

Buprenorphine Maintenancehttps://rehabseekers.com/medications/mat/buprenorphine/buprenorphine-maintenance/

Can methadone be used for fentanyl use disorder?

Yes. Methadone is one of three FDA-approved medications for opioid use disorder, alongside buprenorphine and naltrexone, and NIDA names it as a standard option for fentanyl. It can be dispensed for this purpose only through a SAMHSA-certified opioid treatment program.

Withdrawal management using methadone must happen in an inpatient setting or an opioid treatment program, according to ASAM, so it is not a take-home taper.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

What medications are used for fentanyl withdrawal?

Buprenorphine and methadone are the main options, both treating withdrawal and continuing as long-term treatment. Lofexidine (Lucemyra) is FDA-approved specifically for opioid withdrawal symptoms, and ASAM recommends clonidine off-label. Additional medicines handle nausea, diarrhea and sleep.

MedlinePlus notes clonidine eases anxiety, agitation, muscle aches, sweating, runny nose and cramping but does not reduce cravings.

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

Does fentanyl contain xylazine?

Some illicit supplies do. NIDA says xylazine, a veterinary tranquilizer not FDA-approved for any human use, is most frequently added to fentanyl. Naloxone and nalmefene do not reverse xylazine, but experts still advise giving them because exposure usually comes through fentanyl.

A 2025 review of xylazine toxicity and withdrawal reports supportive care with naloxone, alpha-2 agonists and GABAergic medicines in published cases.

Opioid Detoxhttps://rehabseekers.com/addictions/opioid/opioid-detox/

Can you detox from fentanyl at home?

Sometimes, but it is risky. MedlinePlus says opioid withdrawal can be managed at home with medicines and a strong support system, yet withdrawing on your own can be very hard and may be dangerous. Fentanyl's slow clearance and the timing problems around starting buprenorphine make clinician guidance more important than with other opioids.

Ambulatory withdrawal management with scheduled check-ins is a middle route between home and residential care.

Outpatient Detoxhttps://rehabseekers.com/programs/detox-centers/outpatient-detox/

Is fentanyl detox enough on its own?

No. CDC advises against detoxification without medications for opioid use disorder, citing increased risks of resuming use and overdose, and NIDA states detoxification is not the same as treatment and is not sufficient for recovery. Detox should lead directly into medication and counseling.

A move into a longer program usually follows, and rehab transfers are recorded far more often at facilities offering fentanyl detox than across the directory.

Medication Assisted Treatment (MAT)https://rehabseekers.com/medications/mat/

What level of care is used for fentanyl detox?

Under the ASAM Criteria, Third Edition, withdrawal can be managed at one of five levels, from 1-WM ambulatory care through clinically managed residential 3.2-WM and medically monitored 3.7-WM up to medically managed intensive inpatient 4-WM. Placement follows a six-dimension assessment covering withdrawal risk, medical and mental health status and living situation.

At Level 3.7-WM a physician, physician assistant or nurse practitioner performs a physical examination within 24 hours of admission.

Residential Detoxhttps://rehabseekers.com/programs/detox-centers/residential-detox/

How much does fentanyl detox cost?

Medical detox usually runs $1,540 to $5,600 a week before insurance, or roughly $220 to $800 a day, with the full market spread reaching about $200 to $900 daily. Hospital-based care sits at the top, ambulatory withdrawal management at the bottom. Medication costs may be billed separately.

Medicaid plans must cover FDA-approved opioid use disorder medications, which removes much of that cost for members.

Medicaid Detoxhttps://rehabseekers.com/insurance-accepted/medicaid/medicaid-detox/

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A fentanyl detox program is medically supervised withdrawal management for someone physically dependent on fentanyl, run by clinical staff who can give medication, monitor symptoms and hand over to ongoing treatment. In federal records detoxification is coded at the drug class level, so a fentanyl detox program is opioid withdrawal management staffed and medicated for this particular opioid.

What separates it from a general opioid detox is timing. NIDA describes fentanyl as a synthetic opioid, 50 to 100 times more potent than morphine, made entirely in laboratories. A 2023 narrative review reports that it is highly lipophilic and moves from the brain into muscle and fat, giving it a long terminal elimination even though its central action is short. That changes when buprenorphine can safely be started.

This guide covers what the program does, how buprenorphine and methadone are started after fentanyl, how long withdrawal runs, what detox costs and who pays, what xylazine adds to the picture, and how to find a program at the right level of care.

What Is a Fentanyl Detox Program?

It is a short course of medically supervised care that manages fentanyl withdrawal with medication and monitoring, then connects the person to longer treatment. ASAM is explicit that withdrawal management on its own is not a treatment method and that anyone receiving it should be told about the risk of returning to use. CDC guidance advises against detoxification without medication for opioid use disorder, citing increased risks of resuming use and overdose.

Admission starts with assessment. ASAM calls for a multidimensional assessment across six dimensions before a level of care is matched, and names the Objective Opioid Withdrawal Scale, the Subjective Opioid Withdrawal Scale and the Clinical Opioid Withdrawal Scale as validated tools for evaluating withdrawal. A mental health assessment is recommended before medication for opioid use disorder is started. Early symptoms include agitation, anxiety, muscle aches, tearing, insomnia, runny nose, sweating and yawning; later ones include cramping, diarrhea, dilated pupils, goosebumps, nausea and vomiting.

Opioid withdrawal is very uncomfortable but not life threatening. The main medical complications are vomiting with aspiration of stomach contents into the lungs, and dehydration with electrolyte disturbance, which is much of the reason staffed medical detox is preferred over managing it alone.

Five levels, not one. Under the ASAM Criteria, 3rd Edition, withdrawal is managed at 1-WM ambulatory, 2-WM ambulatory with extended on-site monitoring, 3.2-WM clinically managed residential, 3.7-WM medically monitored inpatient, or 4-WM medically managed intensive inpatient. At 3.7-WM a physician, physician assistant or nurse practitioner performs a physical examination within 24 hours of admission.

How Is Buprenorphine Started After Fentanyl?

Carefully, and later than with heroin. federal health agencies states that a patient must abstain from opioids for at least 12 to 24 hours and be in early withdrawal before buprenorphine is started, because individuals with opioids still in the bloodstream may have acute withdrawal when it is given. Fentanyl’s slow clearance makes that window harder to judge than it is with a short-acting opioid.

A 2025 case-series paper states that standard initial doses of 2 to 4 mg may precipitate withdrawal in individuals using fentanyl and often prevent successful induction, and that fentanyl’s lipophilic nature results in prolonged elimination, heightening the risk for several days after cessation. A buprenorphine/naloxone sublingual tablet label notes that patients dependent on long-acting opioid products may be more susceptible to precipitated and prolonged withdrawal during induction than those on short-acting opioids. The 2023 review proposes that fentanyl released from tissue stores may behave like a long-acting opioid, which it frames as plausible rather than established.

Low-Dose Initiation

A University of Maryland training deck says low-dose buprenorphine initiation is now the favored term for what is commonly called micro-dosing, and that it typically takes place over 3 to 10 days, with time frames as long as one month reported. A 2026 Canadian Family Physician article describes microinduction as starting at 0.5 mg on day 1 while the full-agonist opioid continues, then titrating over 7 to 14 days, alongside standard induction and high-dose macroinduction as the three oral pathways.

Rapid Protocols and Their Limits

The 2025 paper describes a rapid low-dose protocol in nine patients using 1 mg of buprenorphine-naloxone hourly for 8 hours, then 8 mg twice daily, with patients advised to wait at least 24 hours from last fentanyl use and to begin only after one objective withdrawal sign such as sweating, goose bumps or yawning. The authors note it still requires abstinence and some withdrawal first, and that the small sample limits generalizability. A 2022 analysis of social media posts found the longest reported abstinence before precipitated withdrawal was 168 hours.

Methadone and Other Medication

ASAM says withdrawal management using methadone must be done in an inpatient setting or in an opioid treatment program, which is the route for methadone after fentanyl use. NIDA names methadone, buprenorphine and naltrexone as the standard medications for opioid use disorder, with lofexidine approved for withdrawal symptoms. ASAM recommends that patients and their family members receive naloxone prescriptions and training.

How Long Does Fentanyl Detox Take?

No government or professional-body source gives a fentanyl-specific timeline in days. For short-acting opioids generally, withdrawal begins within about 12 hours of a missed dose, peaks at 36 to 72 hours and tapers over the following 4 to 7 days, generally resolving in 5 to 14 days depending on the half-life of the opioid.

Fentanyl complicates that picture at the clearance end. The 2023 review reports that individuals entering treatment for illicit fentanyl tested positive for fentanyl in urine for an average of 7 days and norfentanyl for an average of 13 days, up to 26 days, and describes a secondary plasma peak sometimes called fentanyl rebound. Frequent prolonged use may accumulate the drug in peripheral tissues, which the review calls plausible rather than established. The practical effect is on medication timing rather than on symptom length, and a withdrawal scale rather than the calendar decides when to start.

Program length is a separate matter from symptom duration. Detox usually hands over to residential rehab, a partial hospitalization program or an outpatient MAT clinic where the medication started in detox continues.

How Much Does Fentanyl Detox Cost?

Before coverage, medical detox commonly runs $220 to $800 a day, or roughly $1,540 to $5,600 for a week, with the full observed range from about $200 to $900 a day. No fentanyl-specific price source exists; the figures below are the general US market rates a program would bill.

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

Medicaid plans must cover FDA-approved medications for opioid use disorder, and Medicaid detox is a common route in. TRICARE covers withdrawal management in hospital stays, intensive outpatient and opioid treatment programs. Private plans vary and commonly require prior authorization for an inpatient or residential withdrawal admission, so ask the admissions team to obtain it before the date. Where there is no coverage, sliding scale and state funded detox are the usual alternatives to self-pay.

What About Xylazine, Pregnancy and Overdose Risk?

NIDA says xylazine, a veterinary tranquilizer, is found in some illicit drug supplies, is most frequently added to fentanyl, and is not FDA-approved for any human use. Naloxone and nalmefene do not reverse xylazine, but experts still recommend giving them when exposure is suspected, because most individuals are exposed through fentanyl. A 2025 review of xylazine toxicity and withdrawal reports supportive care with naloxone, alpha-2 agonists and GABAergic medicines in the cases described; published standards remain thin, so ask the clinical team what it does when xylazine is suspected.

In pregnancy. ASAM says pregnant women who are physically dependent on opioids should receive methadone or buprenorphine monoproduct rather than withdrawal management or abstinence. NIDA says babies exposed to fentanyl before birth may show irritability, crying, tremors or poor feeding after birth, and that medications for opioid use disorder are considered safe while breastfeeding because only very small amounts pass into breast milk. Pregnant women MAT programs are set up for this.

NIDA also notes that pills made to look like prescription pain, anxiety or ADHD medicines can contain fentanyl without the person knowing, and that a test strip may miss it because the small sample tested may not contain it, or may not detect similar drugs such as carfentanil. Tolerance falls during detox, which is why naloxone and overdose prevention education belong in the discharge plan.

How Do I Find a Fentanyl Detox Program Near Me?

Start with your state licensing agency’s facility lookup, a physician or the county behavioral health access line, and your plan’s provider search if you have coverage. Ask which ASAM withdrawal management level the program is licensed for, whether it starts buprenorphine or methadone on site, and how it handles a low-dose initiation when fentanyl is involved.

Programs offering fentanyl detox are gathered on this page, alongside opioid detox, heroin detox and residential detox, with state pages for Tennessee, California and Ohio. Each listing shows the levels of care offered, accepted payments, licensing and accreditation, and distance to the nearest airport. Among providers carrying fentanyl detox, rehab transfers are recorded far more often than the site average, which reflects how regularly withdrawal management hands over to care elsewhere.

What Is the Difference Between Fentanyl Detox and Fentanyl Rehab?

Detox manages withdrawal over days; rehab treats the disorder over weeks or months. NIDA states that detoxification is not the same as treatment and is not sufficient on its own, and describes medically managed withdrawal as the first stage rather than the whole of it. Telehealth is recorded at a large part of these providers, which matters for the medication review appointments after discharge.

References and Citations

National Institute on Drug Abuse — fentanyl, xylazine and medications for opioid use disorder pages.
American Society of Addiction Medicine — National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use, and the ASAM Criteria, 3rd Edition.
Centers for Disease Control and Prevention — Clinical Practice Guideline for Prescribing Opioids for Pain, Recommendation 12.
MedlinePlus — opiate and opioid withdrawal.
Narrative review of fentanyl pharmacokinetics and buprenorphine induction, 2023; case series of rapid low-dose buprenorphine initiation, 2025; Canadian Family Physician, 2026.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.