Fentanyl is the deadliest drug in New Hampshire. Every day without treatment is a life at risk. Evidence-based fentanyl addiction treatment with Suboxone and Methadone MAT, flexible scheduling, and urgent same-day admissions.
Fentanyl is 50 to 100 times more potent than morphine. Its extreme potency means addiction develops rapidly and the margin between a dose and a fatal overdose is razor-thin.
Experiencing any of these symptoms? Our clinical team can help determine the right level of care.
Get a Free AssessmentSame-day admissions available. Most insurance accepted. Confidential.
Multiple levels of care designed to meet you where you are in recovery. Step up or down as your needs evolve.
Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, and holistic activities. Ideal for those stepping down from detox or needing intensive structure.
Learn More About PHPA structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family commitments.
Learn More About IOPDesigned specifically for working professionals. The same evidence-based programming as our daytime IOP, delivered in the evening so you can maintain your career.
Learn MoreStep-down support for continued recovery. Less intensive than IOP but maintains therapeutic momentum with weekly groups and individual sessions.
Learn More About OPFull access to our programming from anywhere. Secure video platform for groups, individual therapy, and psychiatric consultations. Same clinical rigor, added convenience.
Learn More About TelehealthFDA-approved medications that are critical for fentanyl recovery. Our on-site Nurse Practitioner manages Suboxone (buprenorphine/naloxone) and coordinates Methadone access to stabilize brain chemistry, eliminate withdrawal, and dramatically reduce overdose risk.
Learn More About MAT“[Client testimonial about fentanyl recovery at Trailhead — they got me on Suboxone the first day. The staff treated me like a person, not a number. I thought I was going to die, but they saved my life.]”
“[Client testimonial about the personalized approach — my therapist understood me and the NP got my medication right within the first week. I finally feel hopeful.]”
“[Client testimonial about fentanyl-specific treatment — the MAT combined with therapy saved my life. I’ve been clean for 8 months after years of fentanyl use. I never thought I’d make it.]”
“[Family member testimonial — the family support program helped us understand addiction and rebuild our relationship. We couldn’t have done this without Trailhead.]”
Intensive daily programming while maintaining your home life, family connections, and sober living arrangement.
Mix morning, afternoon, or evening sessions to fit your work, family, or personal commitments. Switch tracks daily.
Every client sees our Nurse Practitioner within a day of admission for medication evaluation and health assessment.
Suboxone and Methadone are proven to reduce fentanyl cravings, prevent withdrawal, and cut overdose death rates by over 50%. Our on-site NP initiates MAT within 24 hours of admission.
Dialectical behavior therapy builds the emotional regulation, distress tolerance, and mindfulness skills essential for lasting recovery.
One-on-one sessions with a licensed therapist at every program level — not just when insurance allows it.
Your therapeutic modality is individualized — CBT, ACT, 12-Step, SMART Recovery. We adapt to you, not the other way around.
Multiple weekly admission opportunities. Begin programming within 24 to 48 hours of your first call.
Staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.
Yoga, meditation, breathwork, equine therapy, and sober recreational activities complement evidence-based treatment.
Licensed in both New Hampshire and Massachusetts, ensuring broad regional access and insurance acceptance.
Following medical detox and MAT stabilization (coordinated with our NP or external detox), your first weeks focus on clinical assessment, Suboxone/Methadone dosing, and building your treatment team.
Immerse in intensive therapeutic programming. Daily group sessions, individual therapy, and skill-building exercises.
Apply your new skills to real-life situations. Step down from PHP to IOP as you build independence and confidence.
Continued outpatient support, alumni program, and aftercare coordination to sustain your recovery long-term.
Don’t see your provider? Call us — we work with many plans and offer affordable self-pay options.
Confidential, no obligation — takes 30 seconds.
Your information is secure and confidential. HIPAA protected.
Take the next step. Our team is here to guide you through the process.
Supporting someone through addiction is challenging. These evidence-based approaches can help.
Our family support program is open to all family members 18+, past and present clients.
Call for Family SupportIt’s common for people struggling with fentanyl addiction to resist treatment — but with fentanyl, time is critical. These approaches can help.
A structured, guided intervention led by a certified specialist can break through denial and help your loved one see the real impact of their fentanyl use on themselves and those around them. Professional interventionists know how to frame the conversation with compassion rather than confrontation.
Rather than confrontation, express concern with empathy. Motivational interviewing techniques focus on their own reasons for wanting change. Ask open-ended questions: “What would your life look like free from fentanyl?” Let them arrive at their own motivation.
Follow through on consequences you’ve communicated. Boundaries protect your wellbeing and can motivate change. Be specific: “If you continue using, I will not be in the house when you do.” Then follow through consistently — empty threats enable continued use.
People move through precontemplation, contemplation, preparation, action, and maintenance. Your loved one may not be ready for action yet — but that doesn’t mean they won’t be. Meeting them where they are is more effective than pushing them where you want them to be.
If there’s immediate danger — suicidal thoughts, severe withdrawal symptoms (seizures, hallucinations), or risk of harm to self or others — call 911 or the 988 Suicide & Crisis Lifeline immediately. Fentanyl overdose can cause death within minutes from respiratory depression. If someone is unresponsive, administer Narcan and call 911 immediately.
Our admissions team can guide you even if your loved one isn’t ready.
Call (857) 312-1697Our family support program provides education, Narcan training, and community for anyone affected by a loved one’s fentanyl addiction.
Topics include codependency, family systems, substance use education, and building a recovery-supportive home.
Trailhead Treatment Center is located in the medical and behavioral health corridor of Salem, New Hampshire. We provide fentanyl addiction treatment for adults throughout greater New Hampshire and northern Massachusetts.
Conveniently accessible via I-93 and Route 28. Dually licensed in NH & MA.
Your recovery begins with a single phone call. We’ll handle the rest.
