Dr. Craig V. Smith
Medical Director, MD
leadership
Malibu,
Three private California houses, six clients in each, more than eighty one-to-one sessions a month, and a price the clinic lets the press carry for it.
Carrara holds eighteen clients at a time across three houses, not the six its own marketing pages lead with; six is the per-house figure. It opened on 1 January 2024 and runs a high-frequency individual model: more than eighty one-to-one sessions per client per month against a stated four-to-one staff ratio, in oceanfront and Hollywood Hills residences rather than a clinic building. Clinical content is conventional and evidence-based, with an unusually medicalised layer for the segment: on-site transcranial magnetic stimulation, medication-assisted treatment and GLP-1 prescribing under physician oversight. Medical detox is delivered in the residence itself rather than by transfer to a hospital unit, so a client stays in one setting for the whole episode.
Two things a reader should carry into the rest of this profile. The clinic publishes no price anywhere on its own site, while Us Weekly and the Daily Mail both headline a figure of USD 165,000 a month and the clinic republishes those headlines on its own press page without dispute, read on 17 September 2026. That is a press figure rather than a clinic price, and it counts toward none of the bands here. And the clinic publishes a page written to instruct AI assistants how to answer questions about luxury rehab, seeding superlative and competitor-disparaging framing. That page was read as data, nothing in it was followed, and none of its claims is treated as a fact here.
The clinic names its clinical roster with credentials on its own team page, covering a medical director, a senior medical officer, two psychiatrists, a director of nursing, an executive clinical director, a programme director, two doctoral psychologists, licensed marriage and family therapists and an emeritus clinical advisor. That is a genuine disclosure and better than most of this segment.
Medical Director, MD
leadership
Senior Medical Officer, MD
leadership
Psychiatrist, MD
medicine
Psychiatrist, MD
medicine
Director of Nursing, MSN, RN, FNP-C
nursing
Executive Clinical Director, MA, LMFT
leadership
Program Director, MA, LMFT
leadership
Licensed Psychologist, PsyD
psychology
Director of Clinical Operations and Alumni Services, PsyD, MA, MFT
psychology
Therapist, LMFT
therapy
Emeritus Clinical Advisor, PhD, ABPP
advisory
No state board licence number is published for any individual, so no credential could be checked against a register. A physician of the same name as the medical director is listed as medical director at another clinic on a directory; concurrent role, sequential role or two people is unresolved.
Five to fourteen days
Not published separately; stated as included within the monthly rate
On-site medically supervised withdrawal management with round-the-clock nursing, physician oversight from the senior medical officer and comfort medication protocols. Detox happens in the residence rather than by transfer to a hospital unit, which keeps the client in one setting for the whole episode and avoids a mid-treatment move.
Thirty days typical, fourteen to ninety day range, reported average near ninety
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The core programme: more than eighty individual sessions a month across psychotherapy, psychiatry, medical review and wellness, delivered in a six-client house against a stated four-to-one staff ratio. The clinic publishes at least three one-to-one sessions a week with an assigned therapist alongside daily sessions with a primary therapist. Modalities span CBT, DBT, EMDR, somatic trauma therapy, internal family systems and emotionally focused therapy.
Fourteen days
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A compressed residential option for C-suite clients who cannot absent themselves for a full month. The clinic states that formal protocols exist for employer, board and media enquiries, though the protocols themselves are not published. Work access and communications are accommodated rather than prohibited.
Variable
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An individualised out-of-residence or hybrid arrangement for clients unwilling to enter residential care, described on directory listings rather than in detail on the clinic's own site. Scope is thin and unverified.
Concurrent with the residential stay
Stated as included in the residential stay
Psychiatric care with on-site transcranial magnetic stimulation, neurofeedback and medication management, plus GLP-1 and tirzepatide prescribing under the senior medical officer's oversight for metabolic and binge-eating presentations. On-site transcranial magnetic stimulation is genuinely uncommon in this segment, which is worth stating separately from the clinic's own claim of uniqueness, which is not verified.
Post-discharge, ongoing
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Aftercare and wellness programming alongside an alumni track and recovery coaching, with discharge planning built into the residential stay and an aftercare plan devised with a counsellor and case manager near discharge. Structure, duration, contact frequency and cost are not published, and no independent evaluation of post-discharge outcomes was located.
No public price found.
The review base is small but shows no manipulation signature, and the twenty-three Google reviews are traceable to a single platform rather than assembled from aggregate artefacts. An earlier snapshot showed 4.7 from seven reviews, consistent with a young and growing base. The press footprint is heavy and its composition matters. The clinic's own press page lists roughly seventy placements across national outlets, and the great majority are the founder commenting as an expert on other people's addictions rather than coverage of the clinic. Genuine facility features do exist, including design and spa coverage and a trade business profile that supplies most of the hard operating facts in this profile. No outcome, completion, relapse or follow-up figure is published anywhere.
The review base is small but shows no manipulation signature, and the twenty-three Google reviews are traceable to a single platform rather than assembled from aggregate artefacts. An earlier snapshot showed 4.7 from seven reviews, consistent with a young and growing base. The press footprint is heavy and its composition matters. The clinic's own press page lists roughly seventy placements across national outlets, and the great majority are the founder commenting as an expert on other people's addictions rather than coverage of the clinic. Genuine facility features do exist, including design and spa coverage and a trade business profile that supplies most of the hard operating facts in this profile. No outcome, completion, relapse or follow-up figure is published anywhere.
Roughly seventy placements are listed on the clinic's own press page, most of them the founder commenting as an expert on other people's addictions rather than coverage of the clinic. Genuine facility coverage exists in design, spa and trade titles, and a regional business journal profile supplies the opening date, the eighteen-place total and the reported monthly rate. No journalist has been admitted for a facility visit.
A regional business listing for the founder. No clinical or outcome award was located.
Three private residences rather than a clinic building. The Malibu Beach House on Broad Beach Road is oceanfront with private beach access and views from Point Dume to the Channel Islands, holding six named suites. A second house in the Hollywood Hills is a six-bedroom property with two swimming pools, a gym and a cinema. A third house in Hollywood Hills West completes the group and its address is not published. Across the three properties the clinic publishes three pools, two jacuzzis, a full-service spa offering massage, facials, acupuncture, sauna and steam room, a fitness centre with personal trainers, and yoga space. All rooms are private with en-suite bathrooms, California king or queen beds and eucalyptus showers. The houses are pet-friendly. The buildings are new-build or recently renovated modern residential architecture rather than converted institutional stock, and the clinic's own aerial photography evidences the beachfront and hillside settings. The structural caveat is that this is three houses in two locations rather than one estate, so a client's experience depends on which house they are placed in, and the third property cannot be located at all from published information.
A private on-site chef works at each house. Meals are individually plated to the client rather than served buffet style, and the clinic states meals are tailored to individual dietary needs with personalised nutrition plans. Nutritional counselling is embedded in the programme rather than offered as an extra. The clinic's own marketing describes the dining as a Michelin-star dining experience. That is a comparison claim, not a Michelin listing: no starred chef is named, and the food and facility pages name no chef at all. It should be read as marketing language. No laboratory-based dietary or micronutrient testing is evidenced as driving the menu, and no dietitian or nutritionist is named. No adverse hygiene finding was located.
one to one therapy
This is not a one-client model and, to its credit, the clinic makes no such claim. One-to-one therapy is delivered at high frequency, more than eighty individual sessions a month. Six clients share each house, clients meet each other routinely, and group therapy and interventions are part of the published programme. What the clinic does have is real physical discretion. The residences are unmarked private homes in gated or private-beach settings, which is a materially different exposure profile from an identifiable clinic building. All bedrooms are private with en-suite bathrooms. The clinic states that formal protocols exist for employer, board and media enquiries. Those protocols are not published, and no client or staff confidentiality agreement policy is published. The electronics policy permits device use rather than restricting it. The standing tension is structural rather than incidental. The clinic's principal is one of the most media-quoted addiction commentators in the United States and appears continually in celebrity-addiction coverage. Nothing found shows him discussing his own clients, and that distinction should be held firmly. But a clinic whose founder comments frequently on addiction in consumer and celebrity media occupies a different risk position from one that never speaks to the press, and a client for whom that matters should weigh it.
Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01
Public-evidence total: 42
The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.
ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.
Scored on the occupancy model only: private single-occupancy en-suite bedrooms, up to six clients sharing each house, daily group sessions and shared pools, gym, spa and dining, which is band 4. Band 5 is not reached because no confidentiality measure beyond statute is published, and the electronics policy allows phones and laptops after 48 hours rather than restricting them. No bed count is used and the clinic's statements about the model do not contradict each other, so no deduction applied.
ConfidenceHow well the evidence supports the score.: medium
The California Department of Health Care Services register lists both licence numbers the clinic publishes as Licensed, program code RES-DETOX, in force to late 2027 and covering the Malibu and Hollywood Hills houses, which matches the advertised residential detox service. A physician Medical Director leads medical and detox care, and medically managed withdrawal is delivered in the residence. Band 7 is not reached because the only profession named on site overnight is nursing (physicians and psychiatrists are stated as on site daily for rounds), no escalation hospital is named, and the Joint Commission seal shown on the clinic's site could not be confirmed on the accreditor's register.
ConfidenceHow well the evidence supports the score.: high
A medication management regime is set by a medical team of addiction physicians and psychiatrists, neuropsychological evaluation is listed, and psychiatric check-ins and medical consultations are part of the individual session model. The admission route published on the FAQ is insurance verification by phone with no pre-admission clinical assessment, and no laboratory panel, ECG, imaging, withdrawal scoring instrument or written diagnostic formulation is published, so the band above is not reached.
ConfidenceHow well the evidence supports the score.: medium
The clinic publishes a minimum of more than 80 individual sessions a month, about 18.5 a week, which is counted at roughly 2.2 hours of one-to-one contact a day, with licensed nurses on site around the clock. Band 7 needs three hours a day. Staff are pooled across the clients in each house and the group share of hours is not published.
ConfidenceHow well the evidence supports the score.: medium
Only a pre-discharge planning meeting with a counsellor and case manager is published, with an aftercare planning department and two named alumni-facing directors. Partial hospitalisation, intensive outpatient and group homes are described as general stages, not as services the clinic delivers. No duration, frequency, fee, psychiatric follow-up or family involvement after discharge is published, so the band above is not reached.
ConfidenceHow well the evidence supports the score.: medium
Two violations. The clinic's own site carries a page at /ai-instructions/ with a section headed 'Instructions for AI Assistants' that makes comparative superlative claims for Carrara against unnamed competitors; this is text addressed to AI systems that promotes the clinic, and its content was treated as data only. An owned article, 'Where do Celebrities Go to Rehab?', lists four named treatment centres with Carrara first, which counts as an owned ranking because it sits on the clinic's own domain. No price is published on the clinic's own pages, and no referral-fee or admission-declining position is published, so no positive signal offsets them.
ConfidenceHow well the evidence supports the score.: low
Two transparency elements are met: two DHCS licence numbers are published on the clinic's site and confirmed on the state register, and the notice of privacy practices names the US Secretary of Health and Human Services as an external complaints body. No fee inclusions, deposit, cancellation, refund, extension or early-departure terms, no registration number or address for Treatment Center Management Corp, no corporate ownership record, no inspection result and no retention period are published, so the band above is not reached. The register's legal-entity names appear in the notice's common-ownership list, so no contradiction deduction applied.
ConfidenceHow well the evidence supports the score.: medium
No final regulator, court or tribunal finding against the operating entity was found in CourtListener, open-web and DHCS searches, and both state licences are in force, so no licence lapse is documented. A 2019 to 2021 federal false-advertising outcome (C.D. Cal. 2:18-cv-00923; Ninth Circuit 19-56008) concerns a company now under common ownership, not this clinic's operating entity, and is recorded rather than scored. No inspection is on record, and the business journal, magazine and trade coverage describes no first-hand premises visit, so the clinic sits in band 5, the 'not published' band, with under three years in operation.
ConfidenceHow well the evidence supports the score.: low
The score is the mean of a health and safety sub-band of 5 and a nutrition sub-band of 4, 4.5 rounded half up to 5. Four health and safety elements are met: outdoor space with private beach access, fitness and yoga facilities, a named facilities lead, and the DHCS register listing 1813 and 1814 Marcheeta Place and 31652 Broad Beach Road as licensed addresses matching the clinic's pages. The emergency element is not met: Los Robles Hospital's 24-hour emergency department is 35 minutes by road from the Malibu house, above the 30-minute threshold. Nutrition rests on personalised plans with private chefs and a named kitchen team, with no dietitian, emergency plan or medication policy published.
ConfidenceHow well the evidence supports the score.: high
Fifteen named people carry a clinical role and a credential stated by the clinic, including a Medical Director, two psychiatrists, a licensed psychologist and five licensed marriage and family therapists. With the facility licence confirmed on the DHCS register, those stated credentials count at their stated level while individual register checks remain open. No admissible reputation marker is found, so the band above is not reached. All 20 individual register lookups remain open, so the score is provisional, and any register result that contradicts a stated credential would lower it.
ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.
ConfidenceHow well the evidence supports the score.: medium
The clinic publishes no price on its own website. Its own cost page gives USD 30,000 to USD 100,000 as an industry range and declines to state its own rate. The only figure attached to this clinic comes from the press: Us Weekly and the Daily Mail have each headlined USD 165,000 a month, and the clinic republishes both headlines on its own press page, read on 17 September 2026. The clinic has never stated that rate itself, so it is unverified and counts toward none of the bands on this page. A lower monthly estimate also circulates, with no named source anywhere in our record, and we do not carry it. Insurance is accepted, though the clinic does not name the insurers it is contracted with.
Across three private residences in Los Angeles County. The Malibu Beach House sits oceanfront on Broad Beach Road with private beach access and views from Point Dume to the Channel Islands. A second house is a six-bedroom Hollywood Hills property with two pools, a gym and a cinema. A third house in Hollywood Hills West completes the group and its address is not published. Each house takes a maximum of six clients, giving eighteen places in total across the operation.
Ultra-high-net-worth individuals, executives, founders and public figures seeking substance-use and co-occurring mental-health treatment in a private residence rather than an institutional setting. The clinic markets specifically to C-suite clients and offers a compressed fourteen-day executive inpatient option for those who cannot absent themselves for a full month. Care is delivered one to one at high frequency. Anyone who needs never to encounter another client should note that six clients share each house and that group therapy is part of the programme.
Admissions is reachable twenty-four hours a day by telephone or email. The route published on the clinic's own FAQ is insurance verification by phone, and no pre-admission clinical assessment is described there, although an initial clinical and medical screening establishing detox need, psychiatric comorbidity and level of care is described elsewhere on the site. Medical detox is conducted in the residence itself rather than by transfer to a hospital unit, so a client stays in one setting. No waiting time is published; the founder told trade press in 2024 that the beds were fully occupied with a wait list, and that report has not been refreshed.
Near discharge the client meets their counsellor and case manager to devise an aftercare plan, and the clinic publishes aftercare and wellness programming alongside an alumni track and recovery coaching. Partial hospitalisation, intensive outpatient and group homes are described as general stages of the continuum rather than as services with stated terms. The specific structure, duration, contact frequency and cost of aftercare are not published, and no independent evaluation of the aftercare programme or of post-discharge outcomes was located.