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Encino · San Fernando Valley · Los Angeles

Medical Detox in Los Angeles, CA

Medical detox is the medically supervised process of clearing alcohol or drugs from the body while a clinical team manages withdrawal. Here it runs under 24-hour nursing and physician oversight. Most people finish in 7–10 days.

Interior of the New Spirit Recovery detox residence in Los Angeles
★★★★★

“New Spirit Recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time. When I thought about leaving early, they helped me slow down and choose recovery instead. By discharge I was grateful I stayed — they even set up appointments for my leg issues, and I’m doing better now.”

PebblesVerified
A living space at the New Spirit Recovery medical detox facility
★★★★★

“New Spirit Recovery has changed my whole life drastically — they gave me a second chance to rewire my life and live a new one. The staff is caring and genuine, and the director and operations director guided me through the program and gave me every opportunity to be a better person. They set me up for success and I can’t thank them enough for saving my life.”

Naudy G.Verified
A bedroom at the New Spirit Recovery detox residence
★★★★★

“New Spirit Recovery was beneficial to my recovery. Here I learned tools to help me manage my emotions safely — journaling and breathing have been amazing tools I picked up while here. All the staff were incredible and patient. I am grateful to have come here and actually use the tools suggested.”

Nicholas W.Verified
A communal area at the New Spirit Recovery detox facility in Encino
★★★★★

“This program teaches you how to set realistic goals and become a better version of yourself, with all the tools to start building a new foundation. The therapist and case manager give each client an individualized, tailor-made treatment plan. Serene surroundings, a private chef, daily groups, and weekend outings. If you’re looking for a way out of addiction, give New Spirit Recovery a call.”

Lior L.Verified
Grounds of the New Spirit Recovery Los Angeles detox residence
★★★★★

“The staff is amazing. I was completely unable to detox on my own and find the right path. The food and facilities were amazing — and I found my way again. My mom and I go to church together again now. Thank you all so much.”

Rachel S.Verified

CA DHCS licensed detox · most admissions within 24–48 hours

California DHCS licensed and certified
California DHCS Licensed & Certified
Joint Commission accredited organization
Joint Commission Accredited
LegitScript certified
LegitScript Certified
CCAPP certified
CCAPP Certified
Addiction Programs & Professionals
CLIA certified laboratory
CLIA Certified Lab
Clinical Laboratory Improvement Amendments

The first 7–10 days

How long does medical detox take, and what happens?

Most people complete medical detox in 7 to 10 days. Withdrawal usually begins 6–24 hours after the last use and peaks around 72 hours. Medical necessity can extend it to 21 days; a benzodiazepine taper in particular takes longer. Here is the shape it takes, hour by hour.

Hour 0You arrive

Assessment and your first medication

A nurse practitioner evaluates you the moment you walk in. That covers use history, withdrawal risk, prior detoxes, medical and psychiatric history. Monitoring starts immediately, and comfort medication begins per protocol. This is what medical detox actually does: it manages withdrawal under supervision rather than leaving you to face it alone.

Hr 6–24Withdrawal begins

Symptoms start, and they differ by substance

Withdrawal symptoms emerge as the substance leaves your central nervous system. What that looks like depends on what you were using. A nurse scores your symptoms on the same standardized scales a hospital uses and treats them as they appear, rather than waiting for them to escalate.

Alcohol. Begins 6–24 hours after the last drink. One of two withdrawals with real mortality risk: seizures and delirium tremens are why medical alcohol detox belongs under supervision, never at home.

If you are thinking about harming yourself, you do not have to wait for a bed. Call or text 988 any time, or call 911 if you are in immediate danger.

TremorSweatingAnxietyNauseaSeizure riskDelirium tremensRebound anxietyInsomniaTremorPerceptual changesSeizure riskMuscle & bone painNauseaChillsAgitationIntense cravingCrash & fatigueDepressionHypersomniaSuicidal ideation risk
Day 2–4The peak

What medications are used in medical detox?

Withdrawal usually peaks in the first 72 hours. This is where 24-hour nursing matters most. Comfort medication is titrated to what you actually need and adjusted through the day, not set once at intake. Where medication-assisted treatment is indicated, our physician prescribes it and reviews it regularly to reduce craving and support relapse prevention.

A nurse is awake in the house every hour, checking vitals, scoring withdrawal, and escalating to the medical director before a symptom becomes an emergency.

Day 5–7Turning

The body settles, and the work can begin

As acute withdrawal fades, appetite and sleep return. A chef cooks for the day your appetite comes back. When you are medically stable enough to sit in a group, you enter the Rewired curriculum: ten modules on emotional regulation, triggers, and accountability, built by our co-founder Erica Spiegelman and run here and nowhere else.

Day 7–10Next step

Detox ends, and residential begins

Detox on its own rarely holds, so discharge planning starts the day you arrive. Most people step directly into residential treatment with the same clinical team. No re-explaining yourself to a stranger. If the right next step is elsewhere, we arrange it and hand you off personally.

See how detox fits the full program

Why people choose this one

A house, not a ward

01

Roughly one staff member per client

When you press the call button at 4am, someone is already awake and already knows your chart. On the worst night, that ratio is the whole difference.

02

Dual diagnosis is the default

Most people arriving at detox carry something underneath it: trauma, depression, PTSD. Our clinical director holds a dual mental-health and substance-use background, and we treat both at once.

03

Life doesn’t stop while you’re here

Jobs, custody hearings, probation officers, FMLA paperwork, a flight from another state. We handle that coordination as part of treatment.

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Where you’ll actually be

Inside our Los Angeles detox facility

No fluorescent lights, no shared ward. Just a licensed home in Encino with real bedrooms, a chef, and roughly one staff member per client. Detox is undignified enough without an institutional hallway of strangers.

Take a look around before you ever pick up the phone. The video walks through the living spaces, bedrooms, and grounds where you’ll spend your first 7 to 10 days.

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Tour our facility

Where detox sits

Who is medical detox for, and how does it compare to residential?

Medical detox is for adults 18+ withdrawing from alcohol, benzodiazepines, opioids, heroin, fentanyl, or methamphetamine where withdrawal needs medical management. It is the first level of care. A clinical assessment determines placement. Here is how it compares.

Levels of care, described in ASAM terms. A clinical assessment determines placement.
Level of care Medical oversight Typical length Best when
Medical Detox This page 24-hour nursing, physician oversight 7–10 days (up to 21 by medical necessity) Active withdrawal needs medical management
Residential Treatment On-site clinical staff, physician oversight Often part of a ~35-day course Medically stable, needs a structured environment
Step-down (PHP / IOP / OP) Scheduled clinical contact Varies by plan Stable and returning to daily life with support

Small enough to know your name

The clinical team behind your detox

Erica Spiegelman, Co-Founder of New Spirit Recovery

Erica Spiegelman

Co-Founder

Author and recovery specialist. Created the Rewired curriculum, ten modules that run here and nowhere else.

Sean O’Neill, Clinical Director at New Spirit Recovery

Sean O’Neill, LMFT

Clinical Director

Licensed since 2018, dual mental-health and substance-use background. Oversees clinical programming. Twenty-four years in recovery himself.

Cynthia Prieto, Director of Nursing at New Spirit Recovery

Cynthia Prieto

Director of Nursing

Runs all nursing operations across detox and residential care. An LVN since 2020, with a background spanning direct client care and nursing leadership.

Dr. Patrick Lockwood, Licensed Clinical Psychologist

Dr. Patrick Lockwood

Clinical Psychologist

Clinical supervisor and a professor at Cal Lutheran. Works across sites on crisis management and treatment planning.

David Ressler, Program Director at New Spirit Recovery

David Ressler

Program Director

Directs day-to-day operations and client care. Seven-plus years in the industry, five in management.

Jesse Thorpe, Operations Director at New Spirit Recovery

Jesse Thorpe

Operations Director

Handles the logistics that make admission possible, including travel and transport from LAX or Burbank.

The question everyone asks first

How much does medical detox cost?

What you pay for medical detox depends on your plan: your benefits, deductible, copay, and coinsurance. Most PPO plans cover medical detox when it is medically necessary. Anyone quoting a price before reading your policy is guessing.

Coverage varies more than people expect, and is routinely better than assumed. We check your benefits for free and tell you exactly what we find, whether or not you come here.

We do not accept Medicaid, Medi-Cal, or Medicare. Cash pay is available; ask an admissions counselor what that looks like.

What we’ll tell you on the call

  • Whether your plan is active, and what type it is
  • What it covers for detox, and what it doesn’t
  • Your likely out-of-pocket, in a real number
  • If we’re not the right fit, who is

Veterans: we hold a VACCN/TriWest contract. Mention it when you call.

4.8 average on Google

New Spirit Recovery reviews

Reviews published by clients and families on Google, where our average is 4.8 out of 5.

★★★★★

“New Spirit Recovery helped me when I was detoxing hard for about a week. The staff were kind to me the whole time, and when I thought about leaving early they helped me slow down and choose recovery. By discharge I was grateful I stayed.”

PebblesVerified

★★★★★

“New Spirit Recovery changed my whole life. They gave me a second chance to rewire my life. The staff is caring and genuine, and the director and operations director guided me through the program. They set me up for success and I can’t thank them enough for saving my life.”

Naudy G.Verified

★★★★★

“New Spirit Recovery was beneficial to my recovery. I learned tools to help me manage my emotions safely — journaling and breathing have been amazing. All the staff were incredible and patient. I’m grateful I came here and actually use the tools suggested.”

Nicholas W.Verified

★★★★★

“This program teaches you to set realistic goals and become a better version of yourself. The therapist and case manager build an individualized treatment plan for each client. Serene surroundings, a private chef, daily groups, and weekend outings.”

Lior L.Verified

★★★★★

“The staff is amazing. I was completely unable to detox on my own and find the right path. The food and facilities were amazing — and I found my way again. My mom and I go to church together again now. Thank you all so much.”

Rachel S.Verified

These are unpaid reviews posted publicly on Google by individual clients and families. They describe those people’s own experiences, which vary; they are not a promise of any particular outcome, and no one was compensated for them.

Looking for medical detox near you?

Serving Encino, Tarzana, Northridge & the San Fernando Valley

Our detox facility is in Encino, off the 101 at Balboa. We admit from across the Valley, greater Los Angeles, and nationwide.

EncinoTarzanaNorthridgeSherman OaksWoodland HillsVan NuysStudio CityResedaCalabasasBurbankGlendaleGreater Los Angeles

Common questions

Los Angeles medical detox FAQ

A clinical team clears alcohol or drugs from your body while managing withdrawal. That means continuous nursing, vital-sign monitoring, standardized withdrawal scoring, and comfort medication titrated to what you need, under physician oversight, in a safe environment.

Comfort medications manage symptoms as they emerge, and medication-assisted treatment is used where clinically indicated to reduce craving and support relapse prevention. Everything is prescribed and reviewed by a physician. Your doctor explains exactly what is being prescribed and why.

A 3-day detox covers only the acute withdrawal phase, which peaks 24–72 hours after last use. For most substances that is not the full course. Most people need 7 to 10 days, and benzodiazepine tapers run longer. A clinical assessment sets the real length.

Most people complete detox in 7 to 10 days. Medical necessity can extend it to 21 days. Benzodiazepine tapers in particular run longer, because stopping quickly is the dangerous part.

Most major PPO plans cover medical detox when it is medically necessary. Cost depends on your benefits, deductible, copay, and coinsurance. We check your coverage for free and tell you the real number first. We don’t accept Medicaid, Medi-Cal, or Medicare; cash pay is available.

Not safely. Withdrawal complications need immediate intervention and continuous vital-sign monitoring, and neither is possible over video. For alcohol and benzodiazepines specifically, unsupervised withdrawal can be fatal.

No. Medication-assisted treatment is given at controlled doses under medical supervision, as part of a treatment plan, to quiet craving enough that the rest of treatment can work, not to get you high. The evidence behind it is strong.

Most people step into residential treatment. Detox alone rarely holds. Discharge planning starts the day you arrive. If the next step is elsewhere, we arrange it and hand you off personally.

Adults 18 and over withdrawing from alcohol, benzodiazepines, opioids, heroin, fentanyl, or methamphetamine, where withdrawal needs medical management. A clinical assessment confirms it is safe and appropriate before you travel.

Start medical detox in Los Angeles today

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Call Now: (855) 932-2725