Samaritan Daytop Village Inc IR/Young Mothers/Infants/Toddlers

START Treatment and Recovery Centers Clinic 21/Starting Point OTP operates as a certified Opioid Treatment Program within an outpatient structure, giving adults in New York City access to medication-assisted treatment — including methadone and buprenorphine — without requiring an inpatient or residential stay. This model is designed for people who are building or maintaining recovery while continuing to live in their communities.

The outpatient program integrates counseling, psychiatric services, and Cognitive Behavioral Therapy alongside medication support, creating a coordinated approach to opioid use disorder and polysubstance use. For adults whose recovery needs extend beyond a single diagnosis, the clinic also addresses co-occurring mental health disorders and Hepatitis C within the same program.

The clinic serves adults, including individuals who are Deaf or hard of hearing — a specific accommodation that reflects a commitment to reaching populations that are often underserved by mainstream addiction treatment programs. Services are delivered in English.

Paying for ongoing addiction treatment is a common concern for people evaluating outpatient programs. Clinic 21/Starting Point OTP accepts Medicaid and Medicare, as well as self-pay and sliding-scale arrangements, so financial circumstances do not have to determine whether someone can access sustained substance abuse treatment. The clinic is open seven days a week, with hours beginning as early as 6:30 AM on weekdays and extended Monday hours through the evening.

Harm reduction is a confirmed pillar of the clinic's therapeutic approach. Rather than requiring a fixed endpoint or abstinence as a precondition for engagement, harm reduction meets people at their current stage and works to reduce the risks associated with substance use while building toward longer-term recovery goals. This philosophy shapes how the program engages with polysubstance use and co-occurring conditions.

Combined with Cognitive Behavioral Therapy, psychiatric services, and medication-assisted treatment, the harm reduction framework gives the outpatient program a practical, recovery-oriented structure that acknowledges complexity. For people in New York City weighing recovery centers and long-term treatment options, this approach — grounded in clinical methods rather than a single ideology — offers a meaningful foundation for sustained change.

START Clinic 21/Starting Point OTP holds CARF accreditation, a credential awarded by the Commission on Accreditation of Rehabilitation Facilities following an independent review of a program's quality, outcomes, and organizational practices. For people evaluating outpatient addiction treatment programs, CARF accreditation provides an external benchmark beyond what any center says about itself.

The clinic is also a certified Opioid Treatment Program, a federal designation required to dispense methadone and prescribe buprenorphine for opioid use disorder within an outpatient setting. Together, these credentials signal that Clinic 21/Starting Point OTP operates within verified standards — an important consideration for anyone building a long-term recovery plan in New York City.