Trans-inclusive Level IV home · Hilo

Clinically supported recovery residence with the highest level of structure among NARR levels. Staffing and programming approach a residential continuum while remaining a housing-first recovery setting.

Who thrives here

Residents who need frequent clinical or professional support alongside a sober living environment—often transitioning from inpatient or intensive outpatient care.

Daily life

Structured schedules, professional staff presence, care coordination, and clearly defined clinical boundaries for medications and emergencies.

House expectations

Compliance with clinical and house protocols is required. Placement is typically assessed for clinical appropriateness before move-in.