Encino · San Fernando Valley · Los Angeles
Opioid addiction is compulsive opioid use that continues despite harm, driven by tolerance and physical dependence on drugs like fentanyl, heroin, oxycodone, and hydrocodone. Treatment starts with medically managed detox under 24-hour nursing, then residential care.
“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.”
“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.”
“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.”
“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.”
“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.”
CA DHCS licensed treatment · most admissions within 24–48 hours
Not sure where you stand?
Signs of opioid addiction include needing a larger dose for the same effect, feeling sick when a dose is late, taking more than intended, failing to cut down, and building the day around getting and using. Physical dependence forms within two to four weeks of daily use.
Opioid addiction often starts with a prescription written after surgery, an injury, or chronic pain. The shift from taking a medication as directed to needing it is gradual, and the first sign is usually physical rather than behavioral: the dose that worked last month stops working this month.
This self-check mirrors the questions clinicians ask when screening for opioid use disorder: tolerance, withdrawal, loss of control, time spent using, and the damage that accumulates around it. Six questions, then a conversation with the team who would treat you.
This 6-question self-check is a private screening tool, not a diagnosis. It runs entirely in your browser and nothing is saved or sent. A clinician confirms what it means.
Ten minutes, a few questions, and a real answer about your coverage. Someone answers at any hour of the day, including this one. Detoxing alone is the most dangerous way to do it.
How it takes hold
Opioid dependence is when the brain adapts to opioids and needs them to function normally. With continued use tolerance climbs, natural endorphin production falls, and a missed dose brings withdrawal. Long-term use narrows the margin between a usual dose and a fatal one.
Opioid receptors respond to sustained dosing by thinning out, and the brain cuts its own endorphin production to compensate. That adaptation shortens how long each dose holds, so relief that once covered eight hours covers five. Most people reach this point on a legitimate prescription written for injury, surgery, or chronic pain, which is why the shift rarely registers as a warning.
Physical dependence means the body now runs on the drug rather than alongside it. Going 8 to 24 hours without a short-acting opioid produces muscle pain, sweating, chills, stomach cramps, restless legs, and insomnia. Rebound pain makes the original condition feel worse than it was, and dependence forms on an exactly-as-prescribed schedule, so willpower never enters into it.
Dependence becomes opioid use disorder when protecting the supply outranks work, health, and relationships. Prescriptions run out faster than they refill, and the arithmetic pushes people toward heroin or street pills that cost a fraction of the pharmacy price. Street supply removes the one variable prescribing controlled, which is knowing the dose.
Opioid withdrawal begins 8 to 24 hours after a short-acting dose, peaks at 36 to 72 hours, and eases over 4 to 10 days. Long-acting opioids start later and run 10 to 20 days. Withdrawal itself is punishing and rarely kills. The lethal window opens afterward, because tolerance falls within days while the remembered dose does not, and a familiar amount taken after a break stops breathing. Illicit fentanyl in the supply narrows that margin further.
An overdose looks like slowed or stopped breathing, blue lips, pinpoint pupils, and no response to being shaken. Call 911 and give naloxone if you have it. If you are thinking about harming yourself, call or text 988 any time.
Why people choose this one
Getting through withdrawal is the part everyone fears and the part that changes the least. We move you straight from medical opioid detox into residential care, because the weeks after detox are when tolerance is lowest and relapse is most dangerous.
Most people on long-term opioids started them for pain, injury, or trauma, and many carry anxiety or depression underneath. Chronic pain, trauma, and depression are assessed at intake by clinicians licensed in both mental health and substance use, so the reason the opioids worked gets addressed.
Opioid use disorder is treated over months, not inside a single admission. We coordinate step-down care, medication continuity, employer paperwork, and court contact so the plan survives the discharge date.
Free Insurance Verification
Check your coverage in about 60 seconds. No obligation, no cost.
Your information is confidential and used to check your benefits and contact you about treatment. It is never sold.
The path through
The most common treatment for opioid addiction combines medically managed detox under 24-hour nursing with residential therapy, medication-assisted treatment, and dual-diagnosis care for the pain, trauma, or anxiety underneath the use. Care in Los Angeles moves from detox to residential to step-down support.
| Level of care | Medical oversight | Typical length | Best when |
|---|---|---|---|
| Medical DetoxStart here | 24-hour nursing, physician oversight | 7–10 days, up to 21 days by medical necessity | Daily or heavy drinking where withdrawal needs medical management |
| Residential Treatment | On-site clinical staff, physician oversight | Often part of a ~35-day course | Medically stable and ready for daily therapy |
| Step-down (PHP / IOP / OP) | Scheduled clinical contact | Varies by plan | Returning to daily life with continued support |
We deliver medical opioid detox and residential opioid care at our own facilities, with medication-assisted treatment available where it is clinically indicated. step-down care is arranged through a vetted network we coordinate on your behalf. As a licensed opioid treatment program in Los Angeles, we keep the same clinical team with you from the first day of detox through discharge planning. For background on the condition itself, read our guide to opioid addiction signs, symptoms and treatment.
Small enough to know your name
Co-Founder
Certified Addiction Counselor and author. Created the Rewired curriculum, eight pillars that run here and nowhere else.
Read full bio
Clinical Director
Licensed since 2018, dual mental-health and substance-use background. Oversees clinical programming across all properties. Twenty-four years in recovery himself.
Read full bio
Director of Nursing
A Licensed Vocational Nurse since 2020 with extensive behavioral health and substance use experience across detox and residential settings
Read full bio
Clinical Psychologist
Clinical supervisor and a professor at California Lutheran University. Works across sites on crisis management and treatment planning.
Read full bio
Program Director
Directs day-to-day operations and client care. Seven-plus years in the industry, five in management.
Read full bio
Operations Director
Handles the logistics that make admission possible, including travel and transport from LAX or Burbank.
Read full bioThe question everyone asks first
An opioid admission bills across three pieces: detox, residential care, and the medication-assisted treatment that may continue after discharge. Most PPO plans cover all three when they are medically necessary. Check how long your plan authorizes MAT, because that runs past the stay.
The number people get wrong is not the detox, it is how much continuing care their plan will authorize afterwards. We check free of charge and give you the finding to use anywhere.
We do not accept Medicaid, Medi-Cal, or Medicare. Cash pay is available; ask an admissions counselor what that looks like.
New Spirit Recovery bills PPO plans as an out-of-network provider. Verify insurance.
Real people, real recovery stories
Reviews published by clients and families on Google, where our average is 4.8 out of 5.
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 opioid rehab near you?
Our opioid program is in Encino, with residences in Tarzana and Northridge and step-down coordination across the Valley for the months after discharge. We admit from across the Valley and from out of state.
Common questions
The most common treatment combines medically managed detox with residential therapy, medication-assisted treatment where clinically indicated, and behavioral therapies such as CBT and DBT. Dual-diagnosis care addresses the pain, trauma, or anxiety that the opioid use was managing.
Opioid use disorder is a chronic medical condition that is managed rather than cured, in the same way as diabetes or hypertension. Treatment produces long stretches of stable remission. Continued care after residential treatment is what keeps remission durable.
Common behaviors include running out of prescriptions early, seeing more than one prescriber, withdrawing from family, sleeping at odd hours, nodding off mid-conversation, and unexplained money problems. Mood swings track the dosing schedule rather than events.
Opioid use disorder is the clinical diagnosis for compulsive opioid use that continues despite harm. Clinicians assess eleven criteria covering tolerance, withdrawal, loss of control, cravings, and life impact, then grade severity as mild, moderate, or severe.
Withdrawal from short-acting opioids begins 8 to 24 hours after the last dose, peaks at 36 to 72 hours, and eases over 4 to 10 days. Long-acting opioids start later and run 10 to 20 days. Sleep problems and low mood can persist for weeks.
Opioid withdrawal is rarely fatal by itself, though severe vomiting and diarrhea can cause dangerous dehydration. The greater danger comes after withdrawal: tolerance falls within days, so returning to a previous dose can cause fatal overdose.
Symptoms include muscle and bone pain, sweating, chills, goosebumps, yawning, runny nose, dilated pupils, nausea, vomiting, diarrhea, stomach cramps, restless legs, insomnia, anxiety, and intense cravings. Symptoms are managed medically during detox.
Most major PPO plans cover opioid detox and residential treatment in Los Angeles when it is medically necessary. Deductible and coinsurance set the figure, and the piece worth asking about is how long continuing care is authorized. We verify the benefit and tell you how long continuing care is covered. We check what your plan covers free, continuing care included. We don’t accept Medicaid, Medi-Cal, or Medicare; cash pay is available.
