“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.
Fentanyl addiction treatment at The Archangel Centers in Charlotte treats adults with fentanyl use disorder, often alongside co-occurring depression, anxiety, post-traumatic stress, or other mental health conditions. The full outpatient continuum is delivered on-site, serving clients across Mecklenburg County and the Charlotte metro region.
Fentanyl now drives the overdose crisis nationally. The illicit supply is contaminated through and through, pressed pills sold as oxycodone, alprazolam, or Adderall frequently contain fentanyl, and the heroin supply is largely fentanyl in practice. Most clients arriving for fentanyl treatment did not set out to use fentanyl; they used opioids and the supply gave them fentanyl.
Clinically, fentanyl use disorder is an opioid use disorder with a sharper edge. Tolerance climbs faster, withdrawal hits harder, and overdose risk is constant because dose-per-bag is unpredictable. The Archangel Centers treats fentanyl use disorder as a serious chronic illness that responds well to medication-assisted treatment, integrated mental-health care, and a steady clinical team.
Outpatient treatment for fentanyl use disorder is delivered across the full continuum: Partial Care or PHP first, then IOP, then OP for continuing care. Detox is coordinated externally for clients in active withdrawal so they can step directly into the outpatient program.
The Charlotte clinic operates under appropriate North Carolina state licensure for outpatient SUD and co-occurring mental health treatment. Clinical work follows the ASAM framework. Clinical leadership is held by Jamie Salsberg, Clinical Director. We do not assert accreditations the clinic does not hold.
Our Charlotte program delivers a full clinical day Monday through Friday, with a manageable caseload that keeps the assigned primary therapist in place across the continuum. Single-call admissions cover clinical assessment, insurance verification, and clinical review with a scheduled start date. Same-week placement is often possible.
The Charlotte clinic operates in the Mecklenburg County metro area, with admissions, clinical assessment, and insurance verification handled together on the same intake call.
For fentanyl use disorder specifically, the program leans on three things. First, the speed of the admissions process, a 24/7 line, single-call assessment, and same-week placement when clinically indicated. Second, the integration of medication management with the behavioral work; the on-site medical provider sees new clients within approximately 48 hours and stays connected to the clinical team throughout. Third, Evidence-based therapies adapted for opioid use disorder. CBT targets the trigger-thought-craving chain; DBT delivers distress-tolerance skills useful during cravings and during the early MAT period; trauma-informed care is the default with EMDR available in individual therapy. The clinical team coordinates closely with the medical provider so MAT decisions and behavioral work move in step.
The Archangel Centers was founded by Mike Sorrentino, a recovery advocate with more than a decade in active recovery, with co-founder Lauren Sorrentino. The clinical and medical leadership team includes licensed NC clinicians, the on-site medical provider, and case management, small enough that each client knows their primary therapist by name.
Fentanyl now drives the overdose crisis nationally. The illicit supply is contaminated through and through, pressed pills sold as oxycodone, alprazolam, or Adderall frequently contain fentanyl, and the heroin supply is largely fentanyl in practice. Most clients arriving for fentanyl treatment did not set out to use fentanyl; they used opioids and the supply gave them fentanyl.
Clinically, fentanyl use disorder is an opioid use disorder with a sharper edge. Tolerance climbs faster, withdrawal hits harder, and overdose risk is constant because dose-per-bag is unpredictable. The Archangel Centers treats fentanyl use disorder as a serious chronic illness that responds well to medication-assisted treatment, integrated mental-health care, and a steady clinical team.
Outpatient treatment for fentanyl use disorder is delivered across the full continuum: Partial Care or PHP first, then IOP, then OP for continuing care. Detox is coordinated externally for clients in active withdrawal so they can step directly into the outpatient program.
Group rooms, private therapy offices, the medical office, family programming rooms, and a wellness space, designed for clinical depth and nervous-system regulation.
Fentanyl withdrawal is rarely life-threatening on its own, but it is among the most uncomfortable opioid withdrawals, clients describe muscle pain, GI distress, anxiety, restlessness, and disrupted sleep peaking around 36 to 72 hours. The high relapse risk during withdrawal is what drives the recommendation for medical detox or rapid Suboxone induction. Clients on prior MAT continue without gap.
Coordinated medical detox is often required before outpatient placement; the clinical assessment makes the call.
Coordinated medical detox is often the first step for fentanyl use disorder, depending on the severity of withdrawal and the use history. Detox is conducted at an accredited partner facility; clients step directly into Partial Hospitalization (PHP) after detox stability. See coordinated medical detox at Charlotte.
MAT formulary for fentanyl use disorder: Suboxone (buprenorphine/naloxone) is the primary agent, daily films or tablets that occupy the opioid receptor, suppress withdrawal, and block illicit opioids from producing a high. Sublocade (monthly extended-release buprenorphine injection) is offered for clients who want predictable dosing without daily medication. Vivitrol (extended-release naltrexone) is available for clients who have completed full opioid washout and want a non-opioid blocker.
Why not methadone: Methadone is effective for opioid use disorder but federally restricted to certified opioid treatment programs (methadone clinics). The Archangel Centers does not run a methadone program; clients indicated for methadone are referred to a federally licensed opioid treatment program.
Behavioral layer: CBT trigger work, DBT distress tolerance, contingency planning, and harm-reduction (naloxone in every household, fentanyl test strips where legal, sober-living planning). Family programming addresses the chronic overdose anxiety.
Substance use disorder is a clinical diagnosis with specific criteria. If several of the following describe the current pattern, a clinical assessment at our Charlotte clinic is the right next step.
The full outpatient continuum is delivered on-site. The clinical assessment matches each client to the appropriate starting level based on severity, withdrawal status, work and family responsibilities, and history of prior treatment.
| Level | Schedule | Typical length | Page |
|---|---|---|---|
| Partial Hospitalization (PHP) (PHP) | full clinical day, Monday through Friday | Approximately 30 days, clinically driven | Partial Hospitalization (PHP) at Charlotte |
| Intensive Outpatient (IOP) | 3 or 5 days a week, 3 clinical hours per session | Approximately 30 to 60 days, clinically driven | IOP at Charlotte |
| Outpatient (OP) | Flexible, individual therapy + periodic continuing-care groups | Open-ended continuing care | OP at Charlotte |
The arc varies by client, but the following stages are typical for fentanyl use disorder clients moving through the Archangel Centers continuum.
Suboxone or Sublocade induction in coordination with the medical provider. For clients arriving through coordinated detox, Partial Care receives them within hours of discharge. Sleep, appetite, and GI symptoms begin to stabilize as the receptor occupancy holds.
Buprenorphine occupancy blunts cravings within the first week for most clients. Daily contact in PHP/IOP keeps the trigger maps fresh and the relapse risk visible to the clinical team.
Most fentanyl clients carry significant trauma and depression. EMDR is available when individual therapy indicates it. PHQ-9 and GAD-7 are re-administered to track trajectory.
Naloxone in every household, sober-living planning, family roles re-shaped. Family therapy addresses the overdose-anxiety pattern.
Buprenorphine continuation is the standard of care, step-down to IOP then OP keeps the medication in place. There is no clinical urgency to taper MAT; the urgency is preventing relapse.
(888) 464-2144 connects you with a counselor who opens a confidential clinical conversation.
The team verifies benefits in real time so the cost picture is clear before any commitment.
A licensed clinician conducts the assessment by phone, video, or in person. Battery: ASAM Criteria, LOCUS, PHQ-9, GAD-7, Columbia Suicide Severity Rating Scale, biopsychosocial. Typically 30 to 60 minutes.
Most direct admissions begin within 24 to 72 hours of the assessment. For detox-first clients, partner placement is coordinated and the outpatient intake is scheduled before detox discharge.
The Charlotte clinic draws clients from across Mecklenburg County and the broader Charlotte metro, including the surrounding cities and counties along the I-77 and I-85 corridors.
For state-specific procedural guidance, involuntary commitment, Medicaid coverage, court-mandated treatment, and county resources, see the North Carolina state hub.
Recovery starts with a confidential assessment, not a commitment. The clinical team determines whether Partial Hospitalization (PHP), IOP, OP, or coordinated detox first is the right starting point, with insurance verification in the same call.
Call (888) 464-2144 or verify your insurance. The admissions line is open 24 hours a day.
This page was prepared by The Archangel Centers editorial team. The Archangel Centers is an outpatient provider; medical detox and inpatient rehabilitation are coordinated through accredited partners, not delivered on-site. This is general educational information, not medical advice.
“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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