Outcomes Detox & Recovery Center is a medically managed substance use treatment facility. Our Medical Director has more than 20 years of medical experience, and our counselors have established reputations for treating addictions.

Our medical staff is highly qualified to administer treatment for complete detoxification and comprehensive management of withdrawal symptoms, helping you to maintain sobriety through our residential treatment program and beyond.

We recognize the critical importance of this first step for recovery and rest assured that we will make every effort to keep you comfortable to preserve your motivation towards recovery.

We offer comprehensive services for the detoxification of a variety of addictions including alcohol, cocaine, methamphetamines, heroin and prescription opioids among others. The length of stay in our facility is based on your individual needs.

We are one of the few treatment centers for detoxification with direct access to a medical clinic.

You have the hope, we have the experience. Contact Us Now!

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Medical Director

Jorge Guevara, MD

Dr. Guevara is a board certified Internal Medicine professional, and Certified Suboxone Provider, with twenty years experience as a medical doctor.  He is the founder and operator of Medical Associates of Brownsville, SPI Clinic, RGV Day and Night Clinic, and most recently, the Outcomes Detox and Recovery Centers. 

Dr. Guevara studied at the University Peruana Cayetano Heredia through 1988, and graduated from the University of Kentucky in 1995.  He is a strong decision maker who understands the importance of compassion and patience.

Clinical Director

David Estringel, LCSW-S, BCD, C-ASWCM, CART

David Estringel is a Licensed Clinical Social Worker (LCSW), Board Certified Diplomat of Clinical Social Work (BCD), Certified-Advanced Social Work Case Manager (C-ASWCM), Certified Anger Resolution Therapist (CART), and Board-Approved Clinical Supervisor through the Texas State Board of Social Worker Examiners.

He attended the University of Texas at Brownsville, earning a Bachelor degree in English, going on to receive his Master of Science in Social Work with honors from the University of Texas at Austin.

David then went on to Walden University where he completed his PhD coursework in Social Work Administration and is, currently, working on his dissertation, focusing on medical and social disparities that are prevalent within the GLBT community.

For the past three years, David has been working with individuals living with mental health and substance abuse issues in the Lower Rio Grande Valley. Having recently completed a stint as Social Services Manager at a local 37-bed psychiatric facility, supervising clinical social workers providing mental healthcare, David joined the treatment team at Outcomes Detox and Recovery Center, as Clinical Director, in September 2017.

This is the newest phase of a clinical social work career encompassing HIV/AIDS prevention, case management and administration, substance abuse, mental health (inpatient and outpatient), higher-education, program oversight, clinical supervision, and advocacy. David also currently serves as a Clinical Assistant Professor of Social Work at Our Lady of the Lake University’s prestigious Worden School of Social Services, as well as a Lecturer for the Social Work Department at the University of Texas – Rio Grande Valley.

Currently, he is also working on completing two professional certification programs: Leadership in Integrated Healthcare through Duke University and the Addictions Certification Program through the University of Michigan.


Our Objective

Prepare Clients to Successfully Pursue Recovery

Detoxification restores clients’ lucidity and energy so they can readily embrace rehabilitation and subsequent recovery.  Without a structured program in place, clients who choose to detox on their own are at greater risk to relapse.  Outcomes Detox & Recovery Center administers unmatched traditional medically managed detoxification to assist clients clear this first critical hurdle so they can continue on their journey of recovery towards a sober and fulfilling life, comfortably.


For those suffering from substance use and addiction, it can be difficult to know where to turn.  There are many treatment programs available, each promising to help you overcome your addiction and enjoy a life of lasting sobriety.  At Outcomes Detox & Recovery Center, by working one-on-one and offering a wide range of treatment options to meet gender specific needs, we believe we offer one of the most effective treatment programs around. 

Not only will you leave our facility with a plan for a continuum of treatment, you will leave motivated and committed to this new life of sobriety.



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