Heroin Addiction Treatment
Medically supervised heroin detox and treatment across our facilities in Arizona, Texas, Nevada and Oregon, with nursing on site around the clock and medication to manage withdrawal.
- Medically supervised detox, with medication for the withdrawal symptoms
- Nursing on site 24 hours a day, monitoring vitals and comfort
- Detox, residential, PHP and IOP across Arizona, Texas, Nevada and Oregon
- Already on Suboxone or methadone? Say so on the first call and it is planned around
Medically reviewed by
Dr. Keith Garcia, MD, PhD, Medical Director
Last reviewed August 2026
Check your insurance
Free & confidential • No obligation • Usually answered within minutes
The question everybody asks first
You will not be left to withdraw on your own.
The fear of being made to go cold turkey is the single biggest thing standing between people and treatment, and it is usually based on someone's experience of a jail cell or a detox that was not medical. That is not what this is.
Detox here is medically supervised and medication-assisted. A provider assesses you on arrival, sets a plan for your symptoms, and adjusts it as things change. Nursing is on site day and night, watching how you are actually doing rather than waiting for you to ask.
Which medication is appropriate depends on your history and your health, which is why you will not find a protocol on this page. It is a clinical decision made with you, after an assessment. The honest promise is a simple one: it is going to be uncomfortable, and you are going to be safe.
- A medical assessment before anything else, covering what you have been using and your health history
- Medication for the symptoms, nausea, pain, anxiety and sleep, adjusted as they change
- Nursing on site 24 hours a day, monitoring vitals and comfort
- A plan for what happens after detox, made during it rather than at the end
Admission is clinically assessed rather than automatic. Whether you meet detox criteria depends on what you have been using and for how long, and the assessment settles it.
Worth knowing
What is sold as heroin now is usually fentanyl.
Across most of the country the heroin supply has been substantially replaced by, or mixed with, illicitly manufactured fentanyl. The CDC and NIDA both describe it as the dominant driver of opioid overdose deaths. Many people find out only when a test strip or a hospital tells them.
This matters clinically for two reasons. Overdose risk is far higher than it was, because potency varies between batches in a way heroin's never did. And withdrawal often behaves differently, with people who have used both frequently describing fentanyl withdrawal as arriving faster and hitting harder.
It is worth telling admissions that you are not certain what you have been using. That is a common and useful answer rather than a vague one, and it changes how your detox is planned.
See Fentanyl TreatmentCall 911 immediately. If someone is unresponsive, breathing slowly or not at all, or their lips or fingertips have turned blue, that is an emergency and minutes matter.
Naloxone reverses an opioid overdose and is available without a prescription in every state. SAMHSA and the CDC both recommend that anyone using opioids, and the people around them, keep it on hand. Call emergency services even if naloxone works, because its effect can wear off before the opioid does.
A previous overdose does not count against you at admission. It is medical history, and it changes how carefully you are monitored.
A third of the people who reach out about this
Already on Suboxone or methadone?
Raise it on the first call either way, so the medical team plans around it rather than finding out at intake. Please do not stop or change your medication on your own before you call, because that can be unsafe.
Can I be admitted while I am on Suboxone?
Being on Suboxone does not rule you out. Tell admissions at the start so it is built into the plan from the beginning rather than handled as a surprise.
Can you start me on Suboxone?
Medication is used inside a full treatment programme here rather than as a standalone maintenance prescription. If ongoing outpatient maintenance is what you are looking for, say so on the call and we will tell you plainly whether we are the right place and point you to a dedicated MAT provider if we are not.
What about methadone?
Methadone is supported at two of our locations: Astoria in Oregon, where continuation is coordinated through CODA, and Corbett in Las Vegas, where tapering is case by case. Where you would be admitted matters here.
Medication-assisted treatment has its own page, covering what is available where, and how medication works alongside therapy rather than instead of it.
Signs and effects
What heroin does over time.
Written for someone trying to work out whether what they are seeing, in themselves or in a family member, is what they think it is.
Physical dependence
The body adapts, so the same amount stops working and stopping produces withdrawal. This is a predictable physiological change, not a measure of anyone’s character.
Withdrawal between doses
Aching, sweating, restlessness, sickness and sleeplessness arriving within hours. Much of continued use is about staying ahead of this rather than seeking a high.
Health effects
Respiratory depression, infections and vein damage where injection is involved, and the cumulative toll of poor sleep and poor nutrition. Most of it improves with time in recovery.
Life narrowing
Time, money and attention gradually going to one thing. Often the clearest signal to the people around someone, and the hardest for them to name out loud.
What treatment looks like
Detox is the first week, not the treatment.
Getting through withdrawal is the part people are most afraid of and the part that is most straightforwardly medical. It is also the part that, on its own, rarely holds, because the reasons the using started are all still there on the other side of it.
From detox most people move into residential treatment on the same campus, then step down to outpatient. Same plan, same clinical team, no starting over and no explaining your history to a new set of strangers halfway through.
Trauma, depression and chronic pain sit underneath a great deal of opioid use, and they are treated in the same plan rather than referred out. For this group in particular that is not an extra. It is the difference between a detox and a recovery. See dual diagnosis treatment.
If you are the one worrying
You do not have to wait for them to be ready to make a call.
A lot of the people who reach out about heroin are not the person using. They are a parent, a partner or a sibling who has been carrying this quietly for a long time, and who is frightened by the overdose risk in a way they cannot say out loud at home.
Three things you can do now, without their permission and without raising it first: verify their insurance and find out what would be covered, ask what a first conversation should sound like, and get naloxone into the house.
Knowing the answers before you bring it up changes how that conversation goes. It turns "you need to get help" into something concrete you can actually offer.
Common questions
Questions people ask about heroin treatment
If someone is unresponsive or has overdosed, call 911 rather than reading on.
(866) 461-3339- Will I be left to go through withdrawal on my own?
- Detox here is medically supervised and medication-assisted. A provider assesses you on arrival and sets a plan for your symptoms, and nursing is on site around the clock to watch how you are actually doing and adjust it. Going cold turkey is not what happens here, and the fear that it might be is one of the most common reasons people put off getting help. It is going to be uncomfortable, and you are going to be safe.
- What if what I have been using is actually fentanyl?
- That is extremely common, and telling us you are not certain what was in it is a useful answer rather than a vague one. Much of what is sold as heroin now contains or has been replaced by illicitly manufactured fentanyl, which changes both the overdose risk and the way withdrawal behaves. Our medical team plans your detox around what you have actually been exposed to, so say so at assessment. There is more on our fentanyl treatment page.
- How long does heroin detox take?
- It depends on what you have been using, how long you have been using it, and how your body responds once you are being monitored, which is why the assessment settles it rather than a number on a website. Your provider will tell you what to expect for your situation on the first day, and the plan is adjusted as your symptoms change rather than being fixed in advance.
- Can I be admitted if I am on Suboxone or methadone?
- Being on medication does not rule you out. Tell our admissions team on the first call so your medical team plans around it from the start rather than finding out at intake. Methadone specifically is supported at two of our locations, Astoria in Oregon and Corbett in Las Vegas, so where you would be admitted matters for that part. Please do not stop or change your medication on your own before you call, because that can be unsafe.
- Can you help me get off Suboxone or methadone?
- Yes. If your goal is to come off medication-assisted treatment, we offer medically supervised tapering in a monitored setting, which is far safer and more comfortable than attempting it alone. Coming off either medication too quickly can trigger difficult withdrawal, so the pace is set with a provider around what keeps you safe. What is possible depends on your medication and dose history, and admissions will tell you plainly on the call.
- I have overdosed before. Does that change anything?
- It changes how carefully you are monitored, not whether you are welcome. A previous overdose is medical history your team needs in order to keep you safe, and it is far more common among the people we admit than most callers assume. Mention it at assessment, along with whether naloxone was used.
- How do I get my son, daughter or partner into treatment?
- You can do a great deal before they have agreed to anything. Verify their insurance on their behalf and find out what would actually be covered, ask our team what a first conversation should sound like, and get naloxone into the house in the meantime. Having concrete answers ready changes that conversation from an ultimatum into something you can offer, and it means that if they say yes on a Tuesday night the next step already exists.
- Does insurance cover heroin detox and treatment?
- Most commercial and PPO plans cover medically necessary detox and treatment. Because coverage varies by plan and by level of care, a free and confidential verification is the fastest route to a real answer. It takes a few minutes and commits you to nothing, and you can do it on someone else’s behalf.
You are allowed to ask
If you are calling for someone else
Most people who call us are calling about someone they love. You can ask about the options and check their insurance on their behalf, and it stays a conversation until you decide otherwise.
Related reading
Fentanyl treatment
What is in the supply now, why overdose risk is higher, and how the withdrawal differs.
Read the guide →Opioid addiction treatment
The whole class, including the people whose use started with a prescription.
Read the guide →Medication-assisted treatment
What is available where, and how medication works alongside therapy rather than instead of it.
Read the guide →Medical detox
What supervised withdrawal involves, and who is in the building while it happens.
Read the guide →The five hardest withdrawals
Where opioid withdrawal sits against everything else, and why supervision matters.
Read the guide →How long opioids stay in your system
Windows differ sharply by drug, and the fentanyl testing gap that catches people out.
Read the guide →Insurance
We accept most major insurance plans.
And most PPO plans. Coverage varies by plan and by facility, so if your carrier is not shown, ask rather than assume.
- Free, and there is no obligation at the end of it
- Usually answered within minutes during the day
- You can check on behalf of someone else
- Admissions answers the phone 24 hours a day
- No insurance? Ask about private pay options. Nobody is turned away without knowing their next step.
Check my insurance coverage
100% confidential · No commitment required
Tell us what you have been using and what you are afraid of.
Admissions will verify your insurance and arrange a clinical assessment, and a real person answers at any hour. Nothing you say disqualifies you, and nothing is decided on a phone call.
Confidential. No obligation. Someone answers, 24 hours a day.
