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Addiction treatment in Manchester, NH
Drug & Alcohol Rehab Serving Manchester, NH
If you or a loved one is struggling with addiction and looking to improve your quality of life and functional abilities, contact Clear Steps Recovery to learn more about how we can help.
Our Admissions Process
Getting started is easy! Simply call and speak with an admissions therapist who will collect basic information, answer any initial questions you may have, and get you started on your road to recovery.
Clear Steps Recovery is here to support you on this journey, with our compassionate team available to provide individualized care and comprehensive treatment plans to help you reclaim your life.
A Therapeutic Approach to Rehab in Manchester, NH
Recovery processes are as unique as the individual in need. That's why Clear Steps Recovery offers several levels of care and comprehensive programs to meet you where you are with evidence-based, individualized care.
For Manchester residents
Manchester at a Glance: Drive, Schedule and Local Help
Plain facts for Manchester residents. There is no Clear Steps clinic in Manchester: care happens at our Londonderry center.
| Fact | Details |
|---|---|
| Where care happens | 1D Commons Dr, Units 21 & 22, Londonderry, NH 03053, off Route 102 at I-93 Exit 4 |
| Drive | Roughly 9 miles and about 15 minutes from downtown Manchester, by I-293 South and I-93 to Exit 4 |
| Programs | Day Treatment (PHP) on weekdays, IOP by day, Evening IOP, the Outpatient Program and MAT |
| Evening schedule | Evening IOP meets Monday to Thursday, 6 to 9 pm |
| Local help | Manchester Health Department: Overdose Prevention. Dial 211 for The Doorway NH, reachable 24/7. |
Serving Manchester from Londonderry
Outpatient Addiction Treatment for Manchester, NH
Clear Steps Recovery is not located inside the Queen City. We serve Manchester from our New Hampshire facility at 1D Commons Dr, Units 21 & 22, in Londonderry, just off I-93 Exit 4 at the Crossroads. From most of Manchester the drive is roughly 9 miles and about 15 minutes: from downtown and the Elm Street corridor you can pick up I-293 South, merge onto I-93 South, and reach our exit without a single turn through stop-and-go traffic. From the West Side neighborhoods (Rimmon Heights, Notre Dame, Granite Square) the Granite Street interchange (Exit 5) feeds you straight onto I-293 and down to 93. If you are coming from the South End or near Manchester-Boston Regional Airport, you are already on the south side of the city and even closer to us.
How outpatient care and detox coordination work
Here is the plain shape of what we do: it is all outpatient. We run Intensive Outpatient (IOP), Partial Hospitalization day treatment (PHP), standard Outpatient (OP), Medication-Assisted Treatment (MAT), and a mental-health track, and that is the whole menu, because we keep no detox beds and no residential rooms. When someone has to withdraw safely first, we coordinate medical detox with trusted partner facilities, then step that person into our outpatient program once they are stable. For a Manchester resident, that means you complete the structured part of your day with us in Londonderry and still sleep in your own bed, keep a job in the Millyard, or stay close to family on the West Side. Our medical director, Dr. Richard Marasa, reviews this clinical content; he is board-certified in Addiction, Emergency, and Internal Medicine.
Intervention help for Manchester families
Many Manchester families reach us before their loved one has agreed to treatment. We do not employ interventionists, but we coordinate the part that comes right after an intervention: the insurance check, a clinical assessment at Londonderry, often the same day, and the start date in PHP, IOP or Evening IOP. Our intervention help guide for families in New Hampshire explains how a professional intervention works and how to plan the day so the drive from Manchester to our door is the easy part.
Also serving Derry, NH
Manchester is not the only town that reaches us on I-93 or Route 102. Derry residents are about 1.8 miles from our door, and our drug rehab page for Derry, NH covers the drive, the programs that fit and the local peer support.
Serving Windham, NH
Windham is one exit south of us on I-93. From Windham center it is about 8 miles and 15 minutes to 1D Commons Dr, less from the Exit 3 side of town, which makes our Londonderry center the closest structured outpatient option for most Windham and Pelham residents. Windham clients use the same PHP, IOP and Evening IOP schedules as everyone else, including the Monday to Thursday 6 to 9 pm evening group, and the same medical oversight from Dr. Marasa. There is no Clear Steps clinic in Windham.
Serving Bedford, NH
Bedford sits on the far side of Manchester from us, so the trip is a little longer: about 14 miles and 22 minutes from Bedford center by Route 101 east to I-293 and I-93 south to Exit 4, or down Route 28 through Manchester. Bedford professionals who want treatment away from their own neighborhood often prefer that distance. Evening IOP fits a Bedford commute well, since I-93 south at 5:30 runs against the rush. There is no Clear Steps clinic in Bedford. Call (603) 769-8981 and admissions will help you plan the schedule around the drive.
Hillsborough County carries the state's heaviest overdose burden
In 2024, Hillsborough County, which includes Manchester, had the highest drug-related fatality rate of any New Hampshire county at 25.8 deaths per 100,000 residents. Statewide deaths fell sharply that year, but Manchester still records the most suspected opioid overdoses of any city in the state, which is exactly why accessible local treatment matters here. (Source: New Hampshire Fiscal Policy Institute analysis of NH DHHS data, reported by Manchester Ink Link.)
Coming from The Doorway, an ER or detox
How the Step Into Outpatient Care Works for Manchester Residents
Many Manchester residents reach us after a first stop somewhere else. Every route below starts with a referral or a call to (603) 769-8981. In a crisis, call or text 988 or call New Hampshire's Rapid Response Access Point at (833) 710-6477 (NH Rapid Response), and in an emergency call 911. Our New Hampshire help page lists free family groups, recovery centers and town resource pages.
From The Doorway of Greater Manchester
The Doorway of Greater Manchester is at 300 Hanover Street in Manchester, open in person Monday to Friday, 8 AM to 5 PM, and reachable 24/7 by dialing 211. Its services include screening, evaluation, care planning, facilitated referral and support for loved ones (The Doorway). If your Doorway plan includes outpatient treatment, call us or ask your Doorway contact to call, and bring any referral or evaluation summary to your assessment in Londonderry, about 15 minutes down I-93. Clear Steps Recovery is an independent program, not part of The Doorway.
After an ER visit or a hospital stay
Ask for your discharge papers and any referral the care team recommends, then call (603) 769-8981. Admissions verifies your insurance and books an assessment, the same day in many cases. If medical detox has to come first, we arrange it with a partner detox facility, because we do not provide detox or overnight care.
After detox or a residential stay
Call while you are still there. Admissions can plan your first day in Day Treatment (PHP), IOP or Evening IOP for the day you are discharged, so there is no gap in care.
Local access
Getting to Treatment From Manchester Without a Car
Manchester is the only New Hampshire city with a full fixed-route bus system, the Manchester Transit Authority (MTA), which hubs downtown at Veterans Park and the Canal Street Transportation Center, with the free Green DASH circulator looping the Millyard and downtown. The MTA reaches the south side of the city and parts of Londonderry, so getting to the Crossroads area is realistic for some clients, though our Londonderry facility itself sits in a commercial park off I-93 that is built for cars. Because daily IOP and PHP attendance is the part of treatment people most often struggle to sustain, we talk through the commute plainly during intake. If transportation is a barrier, tell us early so we can help you plan a realistic schedule rather than one that quietly falls apart in week two. For more background, read our guide to finding addiction treatment in southern New Hampshire or our Manchester alcohol rehab guide.
Programs available
Drug & Alcohol Rehab Programs in Manchester, NH
Clear Steps Recovery offers an evidence-based approach to addiction treatment. Check out our programs, designed to help individuals overcome addictions, such as:
Alcohol Rehab in Manchester, NH
Clear Steps Recovery is here to help you break the cycle of alcohol addiction with individualized treatment options to help you lead a healthy, happy life. You don't have to do it alone! Contact our Admissions Team today to get started.
Co-Occurring Disorder Treatment
Those struggling with addiction often have the added challenge of mental health issues such as anxiety, depression, or PTSD. If you or someone you love is struggling with co-occurring disorders, Clear Steps can help.
As part of our comprehensive approach to drug rehab in New Hampshire, the Clear Steps Recovery team offers programs to support both addiction and mental health treatment. We will work closely with you to create a custom care plan to see you through your recovery in mind and body.
Virtual Drug Rehab in Manchester, NH
The professionals at Clear Steps Recovery understand that attending a rehab program in person is not always possible. We offer a remote program, allowing patients to participate in therapies and receive the support they need outside of our facility.
Insurance coverage
PHP and IOP in Manchester, NH
Clear Steps Recovery offers substance abuse programs that your insurance may refer to as PHP or IOP. Most private insurance plans cover all or part of a substance use rehab program.
PHP in Manchester, NH
Our PHP program is typically preferred by clients who require a higher level of support but do not need an inpatient program. Contact our team today to learn if this program is right for you.
IOP in Manchester, NH
For clients who have completed a PHP or who do not require as much professional support in their stage of recovery, we offer an IOP program. Contact us today for more information on getting started.
Alcohol rehab
Alcohol Rehab for Manchester Residents
Most adults in the Manchester area who need help with drinking do not need a residential stay. They start in outpatient care: intensive outpatient (IOP) at about 9 to 19 hours a week, usually three-hour group sessions three or four times a week with morning and evening tracks, partial hospitalization (PHP) at 20 or more hours a week for people who need more structure or are stepping down from detox, or standard outpatient at one to eight hours a week. Our Londonderry center is about 15 minutes down I-93 from downtown Manchester and reachable from Bedford, Hooksett, Goffstown and Auburn without much detour.
Medication-assisted treatment is part of alcohol rehab here, not a separate errand. Naltrexone (oral or the monthly Vivitrol injection), acamprosate and disulfiram are the FDA-approved medications for alcohol use disorder, and fewer than 2 percent of adults with the condition are ever offered one. Our medical team evaluates for MAT at the initial assessment. Severe alcohol withdrawal can be life-threatening. If you have had withdrawal seizures or years of heavy daily drinking, medical detox comes first. We do not provide detox, so we arrange it with a partner facility or through The Doorway NH (dial 211) and admit you into PHP or IOP once you are stable. Most private plans and New Hampshire Medicaid cover outpatient alcohol treatment under federal parity law, and a free benefits check takes 10 to 20 minutes. Read more about alcohol addiction treatment.
FAQ
FAQ About Our Manchester, NH Addiction Treatment Center
Where is the nearest Clear Steps Recovery facility to Manchester, NH?
Our New Hampshire facility is at 1D Commons Dr, Units 21 & 22, Londonderry, NH 03053, just off I-93 Exit 4 at the Crossroads. From downtown Manchester it is about 9 miles and roughly 15 minutes via I-293 South to I-93 South. We do not operate a clinic inside Manchester itself. We serve Manchester residents from Londonderry.
Does Clear Steps Recovery offer medical detox in Manchester?
No. We are an outpatient program (IOP, PHP, OP, MAT, and a mental-health track) and we do not have detox or residential beds. If you need to withdraw safely first, we coordinate medical detox with trusted partner facilities, then step you into our outpatient program once you are medically stable. This is a real difference from listings that imply they offer every level of care on site.
What does the commute from Manchester to IOP or PHP actually look like?
IOP and PHP meet on a set schedule, so the commute matters. From most of Manchester it is a straight shot down I-293 to I-93 South to Exit 4, about 15 minutes outside of rush hour. West Side residents can use the Granite Street interchange (Exit 5) to reach 293 quickly. We schedule sessions to avoid the worst of the I-293 and I-93 commuter crunch where we can, and we discuss your specific route and transportation during intake.
How bad is the drug and overdose problem in Manchester and Hillsborough County?
It remains serious, even as the statewide trend improves. In 2024, Hillsborough County (which includes Manchester) had the highest drug-related fatality rate of any New Hampshire county at 25.8 deaths per 100,000 residents, according to a New Hampshire Fiscal Policy Institute analysis of NH DHHS data. Statewide deaths did fall sharply that year, but Manchester continues to record the most suspected opioid overdoses of any city in the state, which is why accessible local treatment matters.
I was seen at The Doorway of Greater Manchester. How do I start outpatient care with you?
Call (603) 769-8981, or ask your Doorway contact to call. Admissions verifies your insurance and books an assessment at our Londonderry center, the same day in many cases, and a clinician matches you to Day Treatment (PHP), IOP or Evening IOP. Bring any referral or evaluation summary the Doorway gave you. It helps, and you can start without it. Clear Steps Recovery is an independent outpatient program, not part of The Doorway.
