For referring clinicians, schools, hospitals, and courts
A residential placement in Northern Nevada that answers the phone and sends the paperwork back.
State-certified ASAM 3.5 residential and 3.2-WM withdrawal management for adults, adolescent residential for ages 12 to 17, and ASAM 2.5 partial hospitalization for step-down. Physician-led. Direct admits from EDs and inpatient units.
Northern Nevada has too few residential beds and too many patients discharged from emergency departments and inpatient units with no next step. We built the homes to be that next step. Call, identify yourself as a referring provider, and expect a call back within the hour during business hours. A phone call is enough to start; records can follow.
Before you call
The practical part, for referring professionals.
What to pack, what to say, what to do about work and school and phones. The stuff nobody writes down.
Referral checklist
- Patient demographics and guardian contact for minors
- Insurance card, front and back
- Current medication list and allergies
- Most recent H&P, discharge summary, or psychiatric evaluation
- Safety history: suicide attempts, self-harm, elopement, violence
- Substance history and last use, for withdrawal planning
- Signed release of information naming your organization
How to reach admissions
- Call (775) 800-1136 and ask for admissions; identify yourself as a referring provider
- Records: fax or secure email, details provided on the call
- Direct admits from EDs and inpatient units, seven days a week
- Expect a call back within the hour during business hours
What we send back
- Admission confirmation within 24 hours of arrival
- Treatment plan summary in the first week
- Discharge summary with medications, diagnoses, and aftercare appointments
- Attendance and progress documentation for courts and probation as authorized
Levels of care, side by side
Residential is one step on a ladder. Here is the whole ladder.
The right level is the least disruptive one that is still enough. We will tell you which rung that is, even when it is not ours.
| Level | Where they sleep | Time in treatment | Typical length | Right when | Provided by |
|---|---|---|---|---|---|
| Residential | Lives at our home | 24 hours a day | Typically 30–90 days | Safety is a concern, outpatient care has not been enough, or the home environment cannot support recovery right now | Here |
| Withdrawal management | Lives at our home | 24 hours, nursing oversight | Usually 3–7 days, then residential | Adults who will have physical withdrawal when they stop alcohol, opioids, or benzodiazepines | Here · adults |
| Partial hospitalization (PHP) | Sleeps at home | About 6 hours a day, 5 days a week | 2–4 weeks | Stepping down from residential, or stable enough at night but needs a full clinical day | Here · adults |
| Intensive outpatient (IOP) | Sleeps at home | About 3 hours a day, 3–5 days a week | 6–12 weeks | Can keep school or work going, needs more than weekly therapy | Sai Mental Health |
| Outpatient therapy and psychiatry | Sleeps at home | Weekly or biweekly | Ongoing | Stable, safe, and building on progress | Sai Mental Health |
What we treat
Most people who come here carry both an addiction and a mental health condition. Treating one and ignoring the other is why so many stays fail. One team, one plan.
Substance use
- Alcohol
- Opioids and fentanyl
- Methamphetamine and stimulants
- Cocaine
- Cannabis
- Kratom and emerging substances
- Gambling and other behavioral addictions
Mental health
- Depression and suicidal thoughts
- Anxiety and panic
- PTSD and trauma
- Self-harm
- Bipolar disorder
- OCD
- Borderline personality disorder
- ADHD alongside any of the above
Questions
What people actually ask us.
What do you need to accept a referral?
Demographics and insurance, a current medication list, the most recent H&P or discharge summary if there is one, and a brief clinical picture including safety history. A phone call is enough to start; documents can follow by fax or secure email.
How fast can you admit?
Same day when a bed is open and safety requires it; otherwise within a few days once benefits are verified. Call for current availability. We admit directly from emergency departments and inpatient units seven days a week.
Which levels of care are you certified for?
Adults: ASAM 3.5 clinically managed high-intensity residential, ASAM 3.2-WM clinically managed residential withdrawal management, and ASAM 2.5 partial hospitalization. Adolescents 12 to 17: residential treatment. Intensive outpatient and outpatient psychiatry are provided by our sister practice, Sai Mental Health.
Exclusion criteria?
Acute medical instability requiring hospital-level care, active psychosis or mania not yet stabilized, imminent suicidality requiring a locked unit, and predatory or violent behavior that cannot be safely managed in an open home. We will tell you quickly if a referral is not a fit, and where to send it instead.
Will you communicate during treatment?
Yes, with a signed release. Referring providers receive an admission confirmation, a treatment plan summary, and a discharge summary with the aftercare plan. Court and probation officers receive attendance and progress documentation as authorized.
Do you take Medicaid?
Yes. SilverSummit, CareSource, and Anthem Medicaid, plus fee-for-service Nevada Medicaid where applicable. Prior authorization is handled by our team.
Admissions
Four steps. Usually within 48 hours. Same day when it has to be.
Getting someone into residential care should not feel like a second crisis. This is exactly what happens when you reach out.
- 01
Call, text, or request a callback
You reach a person who does this every day. Tell us what is going on. We listen first.
- 02
A short clinical screening
Twenty minutes, confidential, by phone. We confirm residential is the right level, and that we can genuinely meet the need. If we cannot, we tell you who can.
- 03
Benefits verified and explained
Usually within 24 to 48 hours. You hear the deductible, the out-of-pocket limit, and whether authorization is required, before you commit to anything.
- 04
Admission
A scheduled arrival, or same-day when safety requires it. We admit directly from emergency rooms and hospitals.