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Durham, NH

Top Durham, NH Drug and Alcohol Rehab Centers

Durham sits on the Oyster River around the university near Newmarket. Residential treatment, intensive outpatient and outpatient programs are listed nearby, with medication-assisted treatment and support for co-occurring mental health conditions. The best Durham programs are set out below for you to compare. We try to check listings against sources such as New Hampshire Department of Health and Human Services licensing records, national treatment records and accreditation records held with the Joint Commission. Families in Dover, Somersworth and Portsmouth search this page. Find the best fit from the listings below.

Rehab Centers Near You

Drug and Alcohol Rehab Centers in Durham, NH

Lamprey Healthcare – Newmarket

207 South Main Street, Newmarket, NH 03857

4.8★★★★★~~796~~

Federally certified

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

Co-occurring DisordersMATTrauma-informed+8

Deaf and HoH

Lamprey Healthcare operates from 207 South Main Street in Newmarket. The site sits in Rockingham County, which shapes which public funding routes apply. Nearby communities include Dover, Durham and Exeter. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on…

1.1 miPiscassic River6.1 miPortsmouth International Airport at PeaseServes15 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +34 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · +4 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · PTSD Treatment · Trauma Treatment

Groups served

Adult Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · +48 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Hepatitis C Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · +6 more

Languages

Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Baypoint Health – Portsmouth

30 International Drive, Portsmouth, NH 03801

4.2★★★★☆11

Joint Commission

DetoxPHPIOP+3

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+9

Baypoint Health operates from 30 International Drive in Portsmouth. The site sits in Rockingham County, which shapes which public funding routes apply. Nearby communities include Dover, Exeter and Hampstead. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Partial hospitalization, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the…

3.1 miWinnicut River0.9 miPortsmouth International Airport at PeaseServes12 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +36 more

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · +6 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · +7 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · +63 more

Support services

Case Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · HIV Treatment · Housing and Employment Support · Housing Assistance · Intensive Case Management · Practical Support · +5 more

Insurance accepted

TRICARE

Merrimack River Medical Services – Somersworth

200 Route 108, Somersworth, NH 03878

4.2★★★★☆24

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersMATMethadone+7

Merrimack River Medical Services operates from 200 Route 108 in Somersworth. The site sits in Strafford County, which shapes which public funding routes apply. Nearby communities include Dover, Exeter and Raymond. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside medication-assisted treatment, an opioid treatment program, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on…

2.6 miIsinglass River12 miPortsmouth International Airport at PeaseServes10 towns

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +27 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient MAT Clinic · Outpatient Rehab · Overdose Prevention Education · Post-Treatment Follow-Up · +2 more

Therapies

Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · +1 more

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · +22 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Community Partners – Somersworth

7 Works Way, Somersworth, NH 03878

5.0★★★★★1

SAMHSA listed

OutpatientTelehealthWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedTeens+5

Community Partners operates from 7 Works Way in Somersworth. The site sits in Strafford County, which shapes which public funding routes apply. Nearby communities include Dover, Exeter and Raymond. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the assessment rather than on what is available,…

2.7 miIsinglass River13 miPortsmouth International Airport at PeaseServes10 towns

Substances treated

Nicotine and Tobacco Treatment · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · +8 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · +6 more

Support services

Case Management · Health and Wellness Support · Housing and Employment Support · Housing Assistance · Intensive Case Management · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment · +1 more

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Community Partners – Dover

272 County Farm Road, Dover, NH 03820

3.0★★★☆☆10

State licensed

ResidentialIOPOutpatient+3

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

MATTeensYoung adults+4

Deaf and HoH

Community Partners operates from 272 County Farm Road in Dover. The site sits in Strafford County, which shapes which public funding routes apply. Nearby communities include Durham, Exeter and Raymond. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Residential treatment, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment and telehealth appointments. Which level fits depends on the assessment rather than on what…

1.1 miIsinglass River11 miPortsmouth International Airport at PeaseServes10 towns

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +30 more

Levels of care

30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · +13 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Matrix Model Treatment · +1 more

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Court Ordered Rehab · DUI and DWI Programs · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Residential Rehab · +21 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Waitlist Interim Services

Languages

Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Health Care Resource Centers – Portsmouth

177 Shattuck Way, Portsmouth, NH 03801

3.3★★★☆☆11

CARF accredited

OutpatientTelehealthAftercare

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

MATYoung adultsWomen+3

Deaf and HoH

Health Care Resource Centers operates from 177 Shattuck Way in Portsmouth. The site sits in Rockingham County, which shapes which public funding routes apply. Nearby communities include Dover, Durham and Exeter. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside medication-assisted treatment and telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the…

2.8 miBellamy River1.9 miPortsmouth International Airport at PeaseServes11 towns

Substances treated

Levels of care

Therapies

Addiction Counseling · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing

Groups served

Adult Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Telehealth · Men's TRICARE Rehab · Women's Medicare Rehab · +5 more

Support services

Case Management · Community Outreach · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · Self Help Groups · Suicide Prevention Services · +2 more

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Medicaid · Medicare · TRICARE · VA Community Care

Greater Seacoast Community Health – Portsmouth

8 Greenleaf Woods Drive, Portsmouth, NH 03801

3.3★★★☆☆81

Federally certified

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTeensSeniors+8

Deaf and HoH

Greater Seacoast Community Health operates from 8 Greenleaf Woods Drive in Portsmouth. The site sits in Rockingham County, which shapes which public funding routes apply. Nearby communities include Exeter, Hampstead and Raymond. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Detox and outpatient care are delivered here, alongside medication-assisted treatment and telehealth appointments. Which level fits depends on the assessment rather than on what is…

3.4 miWinnicut River2.9 miPortsmouth International Airport at PeaseServes12 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · +39 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Codeine Detox Program · Continuing Care · Crystal Meth Detox Program · Detox by Substance · Detox Centers · +30 more

Therapies

Addiction Counseling · Brief Intervention · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Motivational Interviewing · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Early HIV Intervention · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Medicare Rehab · Men's Outpatient Rehab · Men's Rehab · +27 more

Support services

Chronic Illness Management · Community Outreach · Health and Wellness Support · Health Education · Hepatitis C Treatment · Housing and Employment Support · Housing Assistance · Nutrition and Fitness Counseling · Peer Support · Practical Support · +6 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Greater Seacoast Health – Somersworth

311 Route 108, Somersworth, NH 03878

2.9★★★☆☆~~210~~

Federally certified

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

MATTeensSeniors+7

Deaf and HoH

Greater Seacoast Health operates from 311 Route 108 in Somersworth. The site sits in Strafford County, which shapes which public funding routes apply. Nearby communities include Dover, Exeter and Raymond. New Hampshire draws people across long distances for treatment, so travel time is worth weighing against waiting time. Detox and outpatient care are delivered here, alongside medication-assisted treatment and telehealth appointments. Which level fits depends on the assessment rather than on what is available, so…

3.0 miIsinglass River13 miPortsmouth International Airport at PeaseServes10 towns

Substances treated

Levels of care

Therapies

Mental health

Groups served

Support services

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Medicaid · Medicare · TRICARE

Rehabs by setting in New Hampshire

Other parts of New Hampshire, and what each is near.

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Common questions about Durham

Answered from what is listed here.

Which airport serves treatment in Durham?

Portland International Jetport is the airport nearest the facilities listed in Durham, about 41 miles out, which makes it the arrival airport for anyone coming to Strafford County from outside New Hampshire. Someone arriving that way is usually admitted to residential care, and each record carries its own airport mileage.

Residential Rehab Near Major Airportshttps://rehabseekers.com/attractions/airports/airports-residential/

Where can someone in Durham find sober living after rehab?

Sober living addresses are listed in Durham for the period after residential care or day treatment, once someone is working or studying and wants a house with rules attached. Partial hospitalization, detox and intensive outpatient sit nearby in the listings.

Rent in a sober house comes out of wages rather than insurance, while New Hampshire Medicaid (Granite Advantage) covers the clinical appointments that continue alongside it.

Sober Living Homeshttps://rehabseekers.com/programs/sober-living-homes/

Where can adolescents in Durham find substance use treatment?

Adolescent care is listed in Durham, with school-hours intensive outpatient the usual shape and residential treatment listed where someone needs distance from home. Strafford County families use New Hampshire Medicaid (Granite Advantage) or private cover.

Teen Rehabhttps://rehabseekers.com/specialized/teen-rehab/

How much does rehab cost in Durham?

Strafford County listings put residential care between $7,000 and $30,000 a month, detox at $1,750 to $5,600 a week, and intensive outpatient from $3,000 to $10,000. Those are ranges recorded on the listings themselves rather than quotes given over the phone.

New Hampshire Medicaid (Granite Advantage) removes that from the picture for people who qualify, and sliding scale rates or state-funded places appear for anyone in Durham who does not.

Sliding Scale Rehabhttps://rehabseekers.com/payment/sliding-scale/

What other places near Durham have treatment listed?

Manchester sits about 32 miles from Durham and carries listings across a wider set of levels, which matters if a particular program is not recorded in Strafford County. Nashua and Bristol appear separately, and telehealth appointments listed in Durham reach clinicians working in any of those places without the drive.

Rehabs in Manchester, NHhttps://rehabseekers.com/locations/us/new-hampshire/manchester-nh/

Setting and Surroundings

How far Durham sits from the nearest airport, nature and hospital care, measured from its map coordinates.

Airport

Portsmouth International Airport at Pease

Concord Municipal Airport 32 mi · Manchester-Boston Regional Airport 33 mi

6.2 miles

Beach

Seapoint Beach

Crescent Beach 12 mi · Foss Beach 12 mi

12 miles

Hill or mountain

Huckleberry Hill

Pudding Hill 1.6 mi · Mount Pleasant 2.0 mi

1.6 miles

Lake

Swains Lake

Union Lake 8.9 mi · Nottingham Lake 9.3 mi

8.9 miles

Hospital

Wentworth-Douglass Hospital

Nearest emergency department · Hospitals within 10 miles: 2

1.9 miles

Map of listings and nearby features

Zoom in to split a group into its listings.

Loading map…

12 Group of listings Single listing Feature from the list above

Distances are straight line, not driving distance.

Substance Misuse Treatment in Durham, NH

No treatment program carries a Durham address. Worth stating plainly, because it does not mean somebody here has nothing to work with. It means the provision sits a few minutes down the road, and there is a reasonable choice within reach of the town.

The nearest listed program is 5 miles away in 12 Step Rehab, and 20 sit inside twenty-five miles, concentrated in Dover, Somersworth, Portsmouth, Exeter and Rochester. For most people that is a shorter trip than the one they were bracing for.

The front door into the state system is closer still. This region’s Doorway is hosted at Wentworth-Douglass Hospital in Dover, under four miles away, and it answers to 211 rather than to a clinic switchboard. Doorways cover screening and evaluation, medication-assisted treatment, naloxone, recovery housing access and peer support, and the state describes the nine of them as putting help within an hour’s reach. Note that Strafford County shows on the map but not in the plumbing, since access here is organized by hospital region rather than by county.

One New Hampshire quirk matters when comparing programs. The general certification rules for treatment providers expired in 2009 and were never replaced. Opioid treatment programs are certified under He-A 304, residential facilities are licensed under He-P 826, and the rest of the field leans on voluntary accreditation and on He-W 513, the Medicaid rule that builds the benefit around ASAM levels of care. Accreditation therefore tells you more here than in states with a broad license.

Which Level of Care Do You Need

Matching the level to the person matters more than picking the nearest door. What sits within reach covers medically supervised detox, residential inpatient care, partial hospitalization, intensive outpatient programming and outpatient services, though not all of it at the same distance.

Residential Treatment and Where Detox Sits

Residential care means living on site for the length of the program, commonly several weeks, and 6 within twenty-five miles offer it. Medically supervised withdrawal is within reach as well.

Outpatient, IOP and PHP Treatment

Most people never see the inside of a residential program. Outpatient care is the ordinary shape of treatment: a partial hospitalization day running close to full time, an intensive outpatient schedule of a few longer sessions each week, or a standard weekly hour with a counselor.

Nearby, 3 run partial hospitalization and 4 run intensive outpatient, while 16 list standard outpatient care. Medication for opioid or alcohol use disorder appears at 11, and almost all offer telehealth, which for anyone without a car can be decisive.

Dual Diagnosis and Sober Living

Treating a psychiatric condition and a substance use disorder in sequence rather than together is the commonest reason a first course of treatment fails to hold, and 12 within reach indicate dual diagnosis care. Sober living is listed within reach too: shared housing free of alcohol and other drugs for the months after structured treatment ends, usually with house rules, a curfew and an expectation of work or study. It is the least clinical part of the system and often the part that decides whether the rest holds.

Cost, Insurance and Local Support in Durham, NH

Ranges are worth knowing before the first call. $1,750 to $5,600 a week is the market figure for medical detox and $1,500 – $5,500 for a course of outpatient care, neither of them a quote. Coverage is the bigger lever, and New Hampshire Medicaid takes in the expansion group through the Granite Advantage Health Care Program, with behavioral health and substance use services delivered by one of three managed care plans rather than billed straight to the state. From January 1, 2027 a federal community engagement rule applies to adults aged nineteen to sixty-four in that group, and anyone taking part in a drug or alcohol treatment program is named in it as an excluded individual. The New Hampshire page carries the wider comparison.

Standard rehab and detox, New Hampshire market
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,750 to $5,600 a week	$250 – $800
Residential inpatient	$7,000 – $30,000	$230 – $1000
PHP	$8,000 – $15,000	$270 – $500
IOP	$3,000 – $10,000	$100 – $330
Outpatient	$1,500 – $5,500	$50 – $180

Hospitals and Emergency Services in Durham, NH

Stimulant use raises the odds of a cardiac event, and the crash that follows can bring suicidal thinking, so hospital access matters here for reasons other than withdrawal. The nearest emergency department to Durham is at Wentworth-Douglass Hospital, about a mile away in Dover, with four inside twenty-five miles. Restricting the count to emergency departments leaves four inside twenty-five miles. The closest few are Wentworth-Douglass Hospital, Portsmouth Regional Hospital and Frisbie Memorial Hospital.

Hospital access matters in two ways. Beyond the emergency case, hospital presence tends to determine what else exists nearby, since inpatient detox and psychiatric care are usually attached to one. Detox is available here, and any program offering it should be able to say plainly what its arrangement with the nearest hospital is. Where two programs look alike on paper, accreditation is worth weighing: a small number of those listed here are Joint Commission accredited.