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What We Treat · Cocaine & Crack · Phoenixville · Philadelphia · Avondale

Cocaine & Crack Addiction Treatment in Pennsylvania

Find cocaine and crack addiction treatment close to home at our Phoenixville, Center City Philadelphia and Avondale offices, with virtual IOP available throughout Pennsylvania.

Our local cocaine rehab programs include PHP, day or evening IOP, virtual care, stimulant-focused therapy and psychiatric support that can fit around work and family life.

Choose the right schedule

Levels of care for cocaine treatment

Start with the support you need now, then step down as recovery becomes more stable.

About 6 hours a day · 5 days a week

Partial Hospitalization Program (PHP)

Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.

Explore our PHP program

9–15 hours a week · Day or evening

Intensive Outpatient Program (IOP)

A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.

Explore our IOP program

Secure online care · Statewide access

Virtual IOP across Pennsylvania

Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.

Explore our statewide virtual IOP

Cocaine in southeastern Pennsylvania: the fentanyl problem nobody expects

Cocaine remains one of the most commonly used illicit stimulants in the United States, and deaths involving it have risen sharply over the past decade — driven largely by fentanyl contamination rather than by cocaine alone.[1][2]

Philadelphia's supply has been repeatedly found to contain fentanyl in stimulant samples. People who have never touched an opioid are dying of opioid overdoses.[2][4]

In Chester and Montgomery counties we see the functional pattern: Thursday-to-Sunday use, spiraling spend, sleepless weeks, and an anxiety and depression crash by midweek that gets self-treated with alcohol or benzos.

Crack cocaine carries the same pharmacology on a faster, harder curve, and it still carries the heaviest stigma — which is exactly why people wait years to call. Nothing in our program treats crack as a different kind of person's problem.

Dr. Noah Bass, MD

Medically reviewed by Dr. Noah Bass, MD Medical Director.

Last updated:

Street names we hear every day

However you say it, admissions understands. Some of what we hear on the phone every week:

  • Coke
  • Blow
  • Snow
  • Yayo
  • White
  • White girl
  • Powder
  • Soft
  • Hard
  • Crack
  • Rock
  • Base
  • Freebase
  • 8-ball
  • Ball
  • Bump
  • Line
  • Key
  • Nose candy
  • Speedball

A "speedball" — cocaine with heroin or fentanyl — is one of the most lethal combinations we see, and it is now often unintentional because the cocaine itself is contaminated. Carry Narcan.[2]

Cocaine addiction treatment programs we offer

Like meth, cocaine has no FDA-approved medication — so structure, reinforcement and treating the crash are what make the difference.

Contingency management

Structured reinforcement for verified abstinence has the strongest evidence base of any intervention for stimulant use disorder, and it is built into our program rather than bolted on.[3]

CBT & relapse prevention

Cocaine relapse is almost always cue-driven — a bar, a payday, a text thread, a specific route home. CBT maps those triggers and builds a plan for each one, and you practice it in real life the same week.

PHP & IOP levels of care

PHP runs about six hours a day, five days a week; IOP is nine to fifteen hours a week with day, evening and virtual tracks so working clients can keep their jobs while getting real clinical intensity.

Psychiatry for the crash

The depression, anxiety and insomnia after stopping are what pull people back within the first two weeks. Our medical director evaluates and treats them on-site instead of telling you to wait it out.

Alcohol co-treatment

Cocaine and alcohol are used together so often that treating one without the other rarely holds. When alcohol is in the picture we treat both — including a coordinated detox if you are drinking heavily.

Recovery housing & aftercare

Optional sober living through Phoenix Recovery Project near the Phoenixville office covers the hours the program does not, plus alumni support after discharge.

Questions about cocaine treatment?

Call (610) 233-4342

Cocaine risks: the heart, the crash, and hidden fentanyl

Cocaine constricts blood vessels and spikes blood pressure and heart rate. Heart attack, arrhythmia, stroke and seizure happen in users in their twenties and thirties, and risk rises sharply when cocaine is combined with alcohol.[1]

Cocaine plus alcohol forms cocaethylene in the liver — a compound more cardiotoxic than either substance alone and associated with sudden death.[1]

Cocaine withdrawal is not usually medically dangerous, but the crash — exhaustion, anhedonia, intense cravings, dark depression — is where relapse and suicidal thinking live. Being in a program that week is the intervention.

Because fentanyl contamination is now widespread in stimulant supplies, anyone using cocaine should carry Narcan and never use alone. Call (610) 233-4342 and we can start treatment planning today.[2]

Questions about cocaine treatment?

Call (610) 233-4342

Treatment works — and ours is measured

We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.

53%

of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.

+9

point average gain on the BARC-10 recovery capital scale from admission to discharge.

-5.95

point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.

Cocaine & crack rehab near you

Phoenixville

2215 Kimberton Road, Phoenixville, PA 19460

Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.

Learn about our Phoenixville office →

(610) 233-4342

Center City Philadelphia

1026 Winter Street, Philadelphia, PA 19107

Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.

Learn about our Philadelphia office →

(610) 233-4342

Avondale

1284 Gap Newport Pike, Avondale, PA 19311

Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.

Learn about our Avondale office →

(610) 233-4342

Serving communities across southeastern Pennsylvania

In-person cocaine treatment at our Phoenixville, Center City Philadelphia and Avondale offices, plus virtual IOP anywhere in Pennsylvania.

Insurance accepted

Verify your benefits →

Don't see your plan? Call (610) 233-4342 — we'll check your benefits.

Need detox or inpatient first?

If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.

Cocaine treatment FAQ

Do I need detox from cocaine?

Usually not. Cocaine withdrawal is psychologically brutal but not typically medically dangerous, so most clients start directly in PHP or IOP. If you are also drinking heavily or using opioids or benzos, we coordinate a supervised detox first.

Is there a medication for cocaine addiction?

No FDA-approved medication exists for cocaine use disorder. Medications can treat the depression, anxiety and insomnia of early recovery, and contingency management plus CBT have the strongest evidence for the addiction itself.[3]

Can I keep my job while in treatment?

Yes — that is what our evening and virtual IOP tracks exist for. If you need PHP's six-hour day, we provide FMLA and short-leave documentation.

How long does the crash last?

The worst of it is typically three to ten days, with cravings and low mood improving over several weeks. Sleep usually returns first; motivation and pleasure take longer, which is why aftercare matters.

Is crack treated differently than powder cocaine?

Clinically it is the same drug on a faster curve, and our programming is the same. What differs is often the medical, legal and housing situation around it — and admissions helps sort those out too.

Where are your offices?

Phoenixville (2215 Kimberton Road), Center City Philadelphia (1026 Winter Street) and Avondale (1284 Gap Newport Pike), with recovery housing available near Phoenixville.

Questions about cocaine treatment?

Call (610) 233-4342

Sources & references

  1. [1]National Institute on Drug Abuse (NIDA). Cocaine Research Report. View source ↗
  2. [2]Centers for Disease Control and Prevention (CDC). Drug Overdose Deaths — Facts and Statistics. View source ↗
  3. [3]SAMHSA. Treatment of Stimulant Use Disorders — evidence-based resource guide. View source ↗
  4. [4]Pennsylvania Department of Drug and Alcohol Programs (DDAP). View source ↗

Citations link to the original government and research sources. Statistics were current at the time of publication; this page is educational and is not medical advice.

Pennsylvania Recovery Center

The weekend habit does not have to run your life

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