Fentanyl addiction escalates with terrifying speed. Its extreme potency means dependence can develop within days, and every use carries the risk of fatal overdose. Recognizing these signs could save a life.
If any of these describe your situation or someone you love, please call us immediately. Fentanyl addiction is a medical emergency — every day without treatment is a day the outcome could become permanent.
Call Now — Don’t WaitSame-day admissions available. Most insurance accepted. Completely confidential. Fentanyl does not wait — neither should you.
Fentanyl recovery demands immediate medical stabilization followed by sustained therapeutic support. Our programs combine FDA-approved medications with intensive clinical care at every level.
Our most intensive outpatient level. Full-day programming with clinical assessments, group therapy, individual sessions, holistic activities, and daily lunch. The critical foundation for fentanyl recovery after medical detox.
A structured step-down from PHP. Continued group therapy and individual sessions with more flexibility for work, school, or family. Morning, afternoon, or evening tracks available.
Designed for working adults who can’t attend daytime programming. The same evidence-based IOP curriculum, delivered in the evening.
Step-down support for continued recovery momentum. Less intensive than IOP but maintains therapeutic continuity — essential for fentanyl recovery, where relapse risk remains elevated for months.
Full access to our programming from anywhere. HIPAA-compliant video sessions for groups, individual therapy, and psychiatric consultations.
FDA-approved medications are the cornerstone of fentanyl recovery. Suboxone (buprenorphine/naloxone) reduces cravings and prevents withdrawal, while Methadone provides full agonist stabilization for severe dependence. Our on-site Nurse Practitioner manages your medication plan with your input and without judgment.
“[Client testimonial about fentanyl recovery at Trailhead — I had three overdoses before I finally agreed to treatment. The Suboxone stopped the withdrawal within hours. For the first time in years, I could think about something besides my next dose.]”— [Client Name] • Google Review
“[Client testimonial about the clinical approach — they didn’t shame me for using fentanyl. They treated it like what it is: a medical problem. The combination of medication and therapy gave me something to hold onto when cravings hit.]”— [Client Name] • Google Review
“[Family member testimonial — we had already lost hope. We thought we were planning a funeral, not a recovery. Trailhead got our son into treatment within 24 hours of our call. He’s been clean for eight months now.]”— [Family Member] • Google Review
1. Suboxone and Methadone available on-site. FDA-approved opioid agonist therapy is the gold standard for fentanyl recovery. Suboxone reduces cravings and prevents withdrawal; Methadone provides full stabilization for severe dependence. Your choice, with clinical guidance.
2. Live at home, heal during the day. Our outpatient model means you sleep in your own bed, maintain family connections, and build recovery skills in the real world from day one.
3. Flexible scheduling across three tracks. Morning, afternoon, or evening sessions — switch daily based on your work, family, or personal commitments. Our Evening Professional Track (6–9 PM) is built specifically for working adults.
4. On-site Nurse Practitioner within 24 hours. Every client meets our NP within a day of admission for medication evaluation, health assessment, and MAT initiation. For fentanyl cases, we prioritize same-day evaluation when possible.
5. Daily DBT skills groups provide the emotional regulation, distress tolerance, and mindfulness foundation that makes lasting recovery possible — critical tools for managing the intense cravings fentanyl produces.
6. Weekly individual therapy with a licensed therapist at every program level. One-on-one sessions address the pain, trauma, or circumstances that led to opioid use in the first place.
7. Narcan education and distribution. Every client and family member receives Narcan training and a take-home kit. Until sustained recovery is achieved, harm reduction saves lives.
8. Rapid admission. Multiple weekly admission opportunities. No months-long waitlists — begin programming within 24 to 48 hours of your first call. For fentanyl, urgency is not optional.
9. A family-style environment where staff know every client by name. Shared lunches build fellowship. This isn’t a factory — it’s a family.
10. Holistic & experiential programming including yoga, meditation, breathwork, equine therapy at Blue Sky Farm, and sober recreational activities — rebuilding the capacity for natural joy that opioids obliterated.
11. Dual state licensing in both New Hampshire and Massachusetts ensures broad regional access and insurance acceptance across both states.
We work with most major insurance providers. Verify your coverage in minutes. Do not let cost concerns delay treatment.
| Provider | Network Status |
|---|---|
| Anthem Blue Cross Blue Shield | In-Network |
| Point 32 Health (Harvard Pilgrim) | In-Network |
| Point 32 Health (Tufts) | In-Network |
| Tricare | In-Network |
| Uprise Health | In-Network |
| WellSense (NH Medicaid) | In-Network |
Don’t see your provider? We may still be able to help. Call or submit the form below.
Submit the form below and our admissions team will verify your benefits within minutes.
Your information is secure and confidential. We will never share your data.
Treatment does. Call now. We can begin the admissions process immediately.
If you are reading this, you are probably terrified. We understand. Fentanyl is not like other drugs — its lethality is measured not in years but in single doses. Your fear is rational, and your urgency is justified.
Fentanyl addiction is a medical emergency, not a moral failing. The person you love is trapped in a cycle where their brain has been hijacked by one of the most powerful substances on earth. They need professional help — and they may need it before they are willing to ask for it.
Act now. Do not wait for them to “hit rock bottom” — with fentanyl, rock bottom is often death. Have Narcan (naloxone) in your home and know how to use it. Learn to recognize the signs of overdose: blue lips, pinpoint pupils, shallow or stopped breathing, unresponsiveness.
Have the conversation with urgency but not hostility. “I love you, and I am terrified of losing you. I found a program that can help — will you call with me right now?” If they refuse, set boundaries: “I will not watch you die without doing everything I can to help you live.”
Take care of yourself, too. The trauma of loving someone who uses fentanyl is real and deserves attention. Consider therapy, support groups, or our monthly family education groups on Zoom. Trailhead offers individual family therapy sessions and ongoing family support — for all family members ages 18 and up, past and present clients.
Resistance to treatment is common. With fentanyl, every day of resistance carries life-threatening risk. Here is what our clinical team tells families who are running out of time.
Our family support program is open to all family members ages 18+, past and present clients.
Trailhead Treatment Center is located in Salem, New Hampshire — minutes from the Massachusetts border and easily accessible from communities across southern New Hampshire and northeastern Massachusetts.
103 Stiles Rd, Suites 1 & 2, Salem, NH 03079If you are using fentanyl in any form — illicit pills, powder, patches diverted from a prescription, or drugs potentially laced with fentanyl — you need treatment now. There is no “safe” level of illicit fentanyl use. Every dose carries overdose risk. Our clinical team can conduct an urgent assessment over the phone.
We offer FDA-approved medications including Suboxone (buprenorphine/naloxone), which partially activates opioid receptors to reduce cravings and prevent withdrawal, and Methadone, a full opioid agonist for severe dependence. Both are evidence-based, clinician-managed, and available within 24 hours of admission. Medication choice is collaborative — you and your NP decide together.
Yes — medical detox is typically completed before starting our PHP program. We coordinate with trusted detox partners and can facilitate rapid referral. In many cases, the transition from detox to Trailhead can happen within 24 to 48 hours. Our admissions team manages the entire process.
There is no single answer. Some clients taper off MAT after several months; others remain on maintenance medication for years. Both approaches are clinically valid. The goal is sustained recovery, and medication is a tool — not a crutch. Your NP will work with you to determine the right timeline based on your progress and preferences.
Most major insurance plans cover substance use treatment, including MAT. We are in-network with Anthem BCBS, Point 32 Health (Harvard Pilgrim and Tufts), Tricare, Uprise Health, and WellSense (NH Medicaid). Use the verification form above or call our admissions team — do not let cost concerns delay treatment.
Most clients begin treatment within 24 to 48 hours of their initial call. For fentanyl cases, we prioritize rapid admission whenever possible. If your situation is urgent — and with fentanyl, it usually is — same-day admission may be available.
Relapse is a medical event, not a moral failure. With fentanyl, it is also an immediate safety concern. We respond to relapse with clinical adjustment — not punishment. Your medication may be modified, therapy intensified, and safety planning updated. The goal is to get you back on track as quickly as possible while keeping you alive.
With fentanyl, information without action is a luxury no one can afford. Call now.
