Freedom House

They provide inpatient residential, detox and telemedicine, which is the whole of what this address in Rochester is set up for.

They detox from alcohol, cocaine, methamphetamines and opioids, so the first stage and the treatment after it can happen in one place rather than across two trips to Rochester.

Rochester has 32 NA meetings too, and most people end up using both.

They take court referrals, which usually means they are used to the reporting side of it. Courts in Rochester send people to places set up for it rather than to any opening.

They prescribe 2 medications: buprenorphine and naltrexone. What a provider actually stocks changes, so ask for the one you need by name before driving to Rochester.

Some programs have a prescriber on site and some rely on yours, which is worth knowing in advance. Where a program has no prescriber of its own, what you take stays with whoever already manages it. Write the full list with doses and prescribers before you call anyone.

Programs are sold in blocks and recovery does not work in them, which is the tension inside this question. The 28 day figure comes from what insurers once reimbursed rather than from anything about how recovery works. If you can only be away for a fixed period, say so at the start rather than partway through.

Outpatient programs run early and late for exactly this reason, so many people are treated without taking leave. Schools and colleges have their own leave of absence process, and a medical withdrawal is often reversible. Ask whether the program can start on a date that fits a leave request.