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Addiction treatment in Nashua, NH
Outpatient Rehab Serving Nashua From Our Londonderry Facility
Clear Steps Recovery does not operate a clinic inside Nashua. We serve the Gate City from our New Hampshire facility at 1D Commons Dr, Units 21 & 22, in Londonderry, roughly 11 miles north and about a 25-minute drive outside rush hour. From most of Nashua the route is straightforward: cross the Merrimack River into Hudson on Route 111, then follow Route 102 north into Londonderry to Commons Drive, near I-93 Exit 4 and the Crossroads area. Clients coming from the Daniel Webster Highway retail corridor, the Pheasant Lane Mall area near the Tyngsborough line, or downtown Main Street all reach us on the same Route 102 corridor, which keeps the commute to a daytime PHP block or an evening IOP session predictable. If you do not drive, the Nashua Transit System CityBus and the downtown Transit Center at 30 Elm Street can connect you toward the highway, and our team helps clients problem-solve transportation as part of intake.
How outpatient care and detox coordination work
We are therapy-forward outpatient care, not a residential pipeline and not a methadone window. There are no overnight beds and no medical detox at our facility. What we do run is IOP, PHP, standard outpatient, MAT when it is clinically indicated, and a mental-health track. When someone has to stabilize before any of that can work, we arrange medical detox through trusted partner facilities, then step the person down into the program once they are stable. The clinical side is overseen by our medical director, Dr. Richard Marasa, board-certified in Addiction, Emergency, and Internal Medicine, with 46 years of clinical experience.
Why Hillsborough County's numbers matter for Nashua
Nashua is the largest city in Hillsborough County, and that county carried the highest drug-related fatality rate of any New Hampshire county in 2024, at 25.8 deaths per 100,000 residents. In a place generating this much treatment demand, accessible outpatient care close to the highway is not a luxury. (Source: New Hampshire Drug Monitoring Initiative data, as reported by Manchester Ink Link and the New Hampshire Fiscal Policy Institute.)
For Nashua residents
Nashua at a Glance: Drive, Schedule and Local Help
Plain facts for Nashua residents. There is no Clear Steps clinic in Nashua: 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 11 miles and about 25 minutes from downtown Nashua |
| 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 | City of Nashua: Substance Misuse Services. Dial 211 for The Doorway NH, reachable 24/7. |
Coming from The Doorway, an ER or detox
How the Step Into Outpatient Care Works for Nashua Residents
Many Nashua 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 Nashua
The Doorway of Greater Nashua is at 268 Main Street in Nashua, 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 25 minutes north. 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
Why Nashua Families Look Beyond the Border for Care
Nashua sits right on the Massachusetts line, and many families here already cross into Tyngsborough, Lowell, and Greater Boston for daily life. Clear Steps Recovery fits that reality two ways. For NH-based care, our Londonderry facility is a short drive up Route 102. For clients whose lives pull south of the border, we also run a Massachusetts facility in Needham, a few minutes from Route 128/I-95, with the Needham Junction commuter rail stop nearby. That cross-border footprint matters in a city this size: Nashua generates the largest treatment demand in New Hampshire, and the local market is crowded with opioid-treatment programs and residential referrals. We are a different lane, an outpatient program centered on individual and group therapy, MAT when it is clinically indicated, and a mental-health track for the depression, anxiety, and trauma that so often travel with substance use. One phone number reaches both locations: (603) 769-8981.
Programs available
Drug & Alcohol Rehab Programs Serving Nashua, NH
Clear Steps Recovery offers an evidence-based approach to treatment for substance use disorder. Our programs are designed to help individuals overcome addictions, such as:
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.
A Therapeutic Approach to Rehab Serving Nashua, NH
Recovery journeys are as unique as the individual. That's why Clear Steps Recovery offers several levels of care and comprehensive programs to meet you where you are and provides evidence-based, individualized care.
Related care
Connected Programs and Nearby Locations
Explore related Clear Steps Recovery programs and locations: intensive outpatient (IOP), partial hospitalization (PHP), standard outpatient care, MAT in New Hampshire, our New Hampshire location, drug rehab serving Manchester, alcohol addiction treatment, start with admissions.
Alcohol rehab
Alcohol Rehab for Nashua Residents
If you are looking for alcohol rehab in Nashua, the most useful thing to know is that most people do not start in a residential facility. They start in outpatient care at our Londonderry center, about 11 miles north of downtown Nashua and a 25-minute drive outside rush hour. A licensed clinician uses the ASAM criteria to match you to the right intensity: partial hospitalization (PHP) for several hours a day most days of the week, intensive outpatient (IOP) with morning and evening tracks that fit around work, or standard outpatient at one or two sessions a week for maintenance.
Four medications are FDA-approved for alcohol use disorder: oral naltrexone, the monthly naltrexone injection sold as Vivitrol, acamprosate and disulfiram. Our medication-assisted treatment builds them into IOP and PHP alongside cognitive behavioral therapy, motivational interviewing, group therapy and trauma-informed care. When there is a real risk of severe withdrawal, medically supervised detox comes first and we arrange it by referral. Most Nashua residents are covered through commercial plans or NH Medicaid, and we verify benefits before you start. You can also reach The Doorway NH, the state's single point of entry for substance use help, by dialing 211 from any phone. Read more about alcohol addiction treatment.
FAQ
FAQ About Our Addiction Treatment Serving Nashua, NH
How far is Clear Steps Recovery from Nashua, and how do I get there?
Our New Hampshire facility is at 1D Commons Dr, Units 21 & 22 in Londonderry, about 11 miles north of downtown Nashua and about a 25-minute drive. Take Route 111 across the Merrimack River into Hudson, then follow Route 102 north into Londonderry to Commons Drive, near I-93 Exit 4. We do not have a clinic inside Nashua itself. We serve Nashua residents from Londonderry.
Does Clear Steps Recovery offer detox or residential rehab in Nashua?
No. We are an outpatient program, so there is no medical detox and no residential beds. If you or a loved one needs to detox first, we coordinate that step with trusted partner detox facilities and then bring you into our IOP, PHP, outpatient, or MAT program once you are medically stable. This is intentionally different from Nashua's residential and opioid-treatment-clinic options.
What is the difference between your program and a methadone or opioid-treatment clinic in Nashua?
Methadone and opioid-treatment-program clinics are built primarily around daily medication dosing. Clear Steps Recovery is therapy-forward outpatient care: structured IOP and PHP group and individual therapy, a mental-health track, and medication-assisted treatment offered when it is clinically appropriate rather than as the whole program. Our clinical approach is reviewed by Dr. Richard Marasa, who is board-certified in Addiction, Emergency, and Internal Medicine.
Can I keep working in Nashua while I'm in treatment?
Yes, that is the point of outpatient care. IOP typically runs in day or evening blocks so you can hold a job, attend school, or manage family responsibilities, and PHP offers a more intensive daytime schedule when you need more support. The short commute up Route 102 from Nashua is designed to fit around a working week.
I was seen at The Doorway of Greater Nashua. 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.
How long does outpatient alcohol rehab take for Nashua residents?
It depends on your progress, which your clinician reviews with you as you go. At our Londonderry center, Day Treatment (PHP) often lasts a few weeks, IOP often runs several weeks to a few months, and the Outpatient Program continues after that for people maintaining recovery. Your clinician plans each step down with you before it happens, so support never stops abruptly.
