Spurwink Lewiston Crisis Center
Open 24/7 for ages 14 and up. A calmer alternative to the ER for a mental health or substance use crisis: assessment, nursing, peer support and a short stay if you need one.
Walk-in and same day
You can show up or call today and talk to someone today.
Center for Recovery at St. Mary's
Same-day evaluations and admissions for substance use, including inpatient treatment. Call the Rapid Access Line to talk to a recovery coordinator.
Rapid Access Center: every day, 8 AM to 6 PM. After hours, leave a message and they call back the next morning.
Spurwink outpatient (formerly Tri-County Mental Health)
Counseling and substance use treatment for adults. Licensed clinicians are available weekdays, and same-day walk-in appointments are often available.
Monday to Friday, 8 AM to 5 PM
Treatment and counseling
Outpatient, medication for addiction (MAT), intensive programs and residential care.
Sweetser Lewiston Hope & Healing Center
Mental health and substance use care under one roof, including therapy, medication management and MAT. Serves anyone in Androscoggin County regardless of ability to pay.
Recovery Connections of Maine
Intensive outpatient and partial hospitalization for adults with substance use and co-occurring mental health needs. Accepts MaineCare.
Admissions: Monday to Friday, 9 AM to 5 PM
St. Francis Recovery Center
Residential treatment for men 18 and older, run by Catholic Charities Maine. About six weeks, staffed around the clock. Covered by MaineCare and General Assistance.
St. Mary's Behavioral & Mental Health Services
Outpatient, inpatient and crisis mental health care for children, teens and adults.
B-Street Health Center
Primary care with behavioral health in the Tree Streets, run by Community Clinical Services. Sliding fee based on income; no one is turned away for inability to pay.
Narcan and safe disposal
Free naloxone, testing, and somewhere to get rid of used needles safely.
Spurwink Harm Reduction Services
Free naloxone, HIV and hepatitis C testing, case management, and connection to treatment. Takes back used syringes for safe disposal. No appointment needed.
Monday to Friday, 9 AM to 5 PM
Androscoggin County OPTIONS Liaisons
State-funded clinicians who work with local EMS. They hand out free naloxone, follow up after an overdose, and help people and families find treatment. Anyone can reach out, including a worried parent.
Naloxone at the pharmacy
Maine pharmacies can give you naloxone without a prescription. Ask at the counter. The state's map shows every free and pharmacy source near you.
Community sharps drop boxes
Lewiston has public drop boxes for used needles. The Maine CDC keeps the current list of locations.
Recovery support
Peer support, recovery housing and somewhere to go that isn't a clinic.
Josh Stevens Recovery Community Center
Peer-run recovery center from An Angel's Wing. Walk-ins welcome. Recovery coaching, referrals, and applications for their certified recovery homes in Lewiston.
Teens and young adults
For young people without a safe place to stay, or families in crisis.
Marian's Place, New Beginnings
Maine's 24-hour emergency shelter for youth ages 10 to 19. The helpline also takes calls from parents and youth dealing with family conflict, even if no one needs a bed.
Helpline answered 24 hours a day, every day
New Beginnings Youth Drop-In Center
Ages 14 to 21. Food, showers, laundry, activities, and staff who can help with housing and next steps.
Weekday afternoons
Meetings and family groups
Free, anonymous, and happening most days in Lewiston and Auburn.
Alcoholics Anonymous in Maine
Searchable list of in-person and online meetings, including several every day in Lewiston and Auburn.
Narcotics Anonymous
Meeting search for in-person and virtual NA meetings.
Al-Anon and Alateen
For family and friends of someone who drinks or uses.
NAMI Maine HelpLine
Support and referrals for people living with mental illness and the families around them.
Search everything
If nothing above fits, these directories cover all of Maine.
211 Maine
Free, confidential help finding anything: treatment, housing, food, rides, heating help. Dial 2-1-1 from any phone.
Maine OPTIONS resource list
The state's searchable list of treatment, harm reduction and recovery services. Filter by Androscoggin County.
FindTreatment.gov
Federal locator for licensed treatment programs. Filter by insurance, MaineCare, and type of care.
Common questions
Where can I get help for addiction in Lewiston today?
The Center for Recovery at St. Mary's does same-day evaluations every day from 8 AM to 6 PM. Call 207-376-3419. At night or on a bad day, call or text 988, or go to the Spurwink Lewiston Crisis Center at 1155 Lisbon Street, which is open around the clock.
Where can I get Narcan in Lewiston or Auburn?
It's free at Spurwink Harm Reduction Services, 1155 Lisbon Street (207-344-1934), and from the county's OPTIONS Liaisons. Any Maine pharmacy can also give it to you without a prescription.
What should I do if I find a used needle?
Don't pick it up with bare hands. Use gloves or tongs, put it point-first into a hard plastic bottle with a screw cap (a laundry detergent bottle works), and close it tight.
Drop it at a community sharps box or bring it to Spurwink at 1155 Lisbon Street. If you're stuck by one, wash the spot with soap and water and call your doctor or go to an ER the same day.
I'm worried about someone. Where do I start?
Call 211 or reach an OPTIONS Liaison. They talk to families all the time and can walk you through what's available. Al-Anon meetings are for you, not the person you're worried about.
Do I need insurance?
No. Sweetser's Lewiston clinic serves people regardless of ability to pay, B-Street uses a sliding fee, harm reduction services are free, and most residential programs listed here accept MaineCare. Ask about cost when you call; they hear the question every day.