“Archangels gave me my life back. Their team is the most amazing, caring people I have ever met. The housing they sent me to was amazing, the groups are amazing, and this whole project is amazing. If you're tired of being sick and tired, reach out and save your life.”
“This facility is run by some of the best people you could ever ask for. They are extremely professional and truly dedicated to helping those struggling with mental health and addiction. They truly saved my life. I will be forever grateful for everything they did for me.”
“I had the honor of touring this facility, and it was absolutely beautiful, clean, and thoughtfully designed. But more than how it looked, you could feel the love in every detail. Watching the staff interact with clients genuinely touched my heart.”
Plain, fact-first answers about how care works here. Want to talk to a person? Call (888) 464-2144.
A 60-second walkthrough of the Tinton Falls clinic, the space where the program actually runs.
Opioid use disorder (OUD) is one of the most treatable substance use disorders, and one of the deadliest if untreated. The medications and therapies that work are well-established. The bigger barriers are stigma, access, and the unpredictability of the illicit opioid supply, which now is dominated by fentanyl. This page covers what opioid use disorder is in clinical terms, what withdrawal and overdose look like, what medication-assisted treatment can do, and what recovery looks like across the continuum of care.
If you or someone you love is at risk of overdose, naloxone (Narcan) is available without a prescription at most pharmacies and free through many state health departments. Carrying it is a basic safety step.
Opioid use disorder is defined in the DSM-5 by a problematic pattern of opioid use producing clinically significant impairment or distress, as evidenced by at least two of eleven criteria within a twelve-month period. The criteria span impaired control, social impairment, risky use, and pharmacological dependence (tolerance and withdrawal).
The category includes use of:
Tolerance and withdrawal are not enough on their own for a diagnosis if the person is using opioids as prescribed under appropriate medical supervision. Diagnosis requires the broader pattern of problematic use.
Two facts make the current opioid environment uniquely lethal:
1. The illicit supply is dominated by fentanyl. Fentanyl is roughly 50 to 100 times more potent than morphine. Counterfeit pills sold as oxycodone, Xanax, Adderall, and other prescription medications often contain fentanyl in unpredictable doses. Heroin sold on the street is now usually a mixture of heroin and fentanyl, or pure fentanyl. 2. Tolerance shifts make any return to use a high overdose risk. A person who has been abstinent for any period of time, including during a few days in jail or a hospital stay, loses tolerance quickly. A dose that was tolerable three weeks ago can be fatal today.
These two facts shape the clinical urgency. For more on fentanyl specifically, see fentanyl.
Group rooms, private therapy offices, the medical office, family programming rooms, and the wellness space, designed for clinical depth and nervous-system regulation.
Common signs include:
If a person's prescription opioid use has progressed to using more than prescribed, taking another person's medication, crushing or altering pills, or buying opioids outside a medical context, that is a clear indicator that OUD has developed.
Opioid withdrawal is rarely life-threatening on its own (unlike alcohol or benzodiazepine withdrawal), but it is genuinely miserable and is the proximate reason many people return to use. Symptoms include:
Onset varies by opioid: short-acting opioids (heroin, immediate-release oxycodone) produce withdrawal within 8 to 24 hours; long-acting opioids (methadone, sustained-release opioids) take longer to onset and resolve. The acute phase typically lasts 5 to 10 days, with protracted withdrawal symptoms (sleep disturbance, low mood, anhedonia) sometimes lingering for weeks or months.
Medical detox can dramatically reduce the misery of withdrawal and is often the right starting point. For how we coordinate that, see medical detox in Tinton Falls or medical detox in Charlotte.
An opioid overdose can kill within minutes by depressing breathing. Signs:
If you suspect an overdose:
1. Call 911 immediately. 2. Administer naloxone (Narcan) by nasal spray or injection. If the person does not respond within 2 to 3 minutes, give a second dose. 3. Begin rescue breathing if you are trained. 4. Place the person on their side in the recovery position to prevent choking on vomit. 5. Stay with them until emergency responders arrive. Naloxone wears off in 30 to 90 minutes; the person can re-overdose as fentanyl outlasts the naloxone.
Naloxone is available in pharmacies without a prescription in most states, and through many state and community programs at no cost. If you live with or near someone who uses opioids, carrying naloxone is a basic safety step.
Treatment integrates cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, narrative therapy, and trauma-informed care with EMDR available in individual therapy. The medical provider manages MAT (Suboxone, Vivitrol, Sublocade) and psychiatric medications when indicated.
Intake uses the full evidence-based battery: ASAM Criteria, LOCUS for mental health acuity, PHQ-9, GAD-7, the Columbia Suicide Severity Rating Scale, plus biopsychosocial, nutrition, and pain screens. The assessment drives the treatment plan from day one.
See Our ModalitiesMedication-assisted treatment (MAT) for OUD is among the best-studied interventions in addiction medicine. The medications:
At The Archangel Centers, the MAT options are Suboxone (the primary option), Sublocade, and Vivitrol. The decision among them is clinical, made with the medical provider, and is not a moral question.
For more on MAT, see medication-assisted treatment.
Treatment for opioid use disorder follows the continuum that applies to other SUDs, with MAT integrated throughout:
The single biggest predictor of sustained recovery from OUD is staying on MAT for an appropriate duration, integrated with therapy and recovery community. Premature discontinuation of MAT is associated with high overdose risk.
Medication is one piece. Therapy carries the rest. Modalities used at The Archangel Centers for OUD include:
Depression, anxiety, post-traumatic stress, and chronic pain frequently co-occur with OUD and are part of the clinical picture from intake. See:
Pain conditions that contributed to original opioid prescriptions need ongoing management; we work with the client's medical team on non-opioid pain strategies.
“I came back from rock bottom. I'm here because I want to show others they can too. This isn't just a business. It's my mission.”- Mike Sorrentino, Founder
Mike and Lauren Sorrentino did not set out to build a generic treatment center. They wanted a recovery-grounded program that mixes lived experience, licensed clinical expertise, and family programming that actually moves the needle for the people who love someone in active addiction.
The clinic that resulted is small enough that each client knows their primary therapist by name, but resourced enough to deliver the full ASAM continuum from Partial Care through outpatient continuing care, with MAT and EMDR available when clinically indicated.
Read the Full StoryMost clients leave the first admissions call with a clinical assessment, an insurance verification, and a scheduled start date. Recovery starts with a decision, not a commitment. The admissions line is staffed around the clock.
Confidential, 24/7 admissions. Same-week placement is often available. Verify your insurance free of charge before any commitment.
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