Keystone Hall in Nashua, NH

Overall Rating

(4.4 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
615 Amherst St
Nashua NH 03063

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Review by Contributors


A member of the Partnership for Successful Living, Keystone Hall is located close to downtown Nashua, N.H. This nonprofit organization offers residential and outpatient treatment for adults and adolescents struggling with substance abuse and co-occurring mental health disorders. Priority for treatment, including clinically managed detox and a center for pregnant and postpartum women, is given to state residents who are under-insured or face difficulties covering costs. Services are available in both English and Spanish. Formerly known as the Greater Nashua Council on Alcoholism, the center also operates a primary health care clinic on-site.


At Keystone Hall, the admission cycle begins with a two-hour intensive assessment and intake process for all clients. Treatment is described as culturally responsive, trauma-oriented, and evidence-based with emphasis on 12-step concepts and gender-specific individual and group counseling.

The facility's 28-day, high-intensity residential program targets substance abuse alone, while a 90-day program addresses dual diagnosis treatment. Residential treatment includes case management services as well as aftercare planning and associated recovery supports. Within the state, Keystone Hall is one of 12 substance abuse treatment centers that offers short-term, non-hospital residential care of less than 30 days and one of 10 that provides residential treatment on a long-term 30+ day basis.

An intensive outpatient program (IOP) groups for adults meet three times a week for three hours each session in separate sessions for men and women. These IOP clients may also receive aid in securing supportive housing. Keystone staff also coordinate with parole and probation officers, and with schools and caregivers for adolescent IOP clients.

Additional available services include medication-assisted treatment (MAT), according to information provided to by the facility, and support groups for specialized groups, including veterans. All clients of Keystone Hall have access to programs and services offered by affiliates of the Partnership for Successful Living consortium.


Accredited by the Commission on the Accreditation of Rehabilitation Facilities (CARF), Keystone Hall is one of 16 substance abuse treatment facilities with that designation in the state. Job postings on the center’s website indicate that experience working with diverse clients is a priority. In addition to a master's degree in therapy or social work, one counselor description noted staff members "must have a great sense of humor!" The facility also employs licensed professional nurses, certified recovery support workers, and licensed alcohol and drug counselors. Staff in recovery must have two years of sobriety to be hired.


In 2012, the organization purchased a 26,000-square-foot, two-story commercial building, which now serves as headquarters for Keystone Hall and enabled it to expand its residential capacity and programming. The facility is located along a public bus line, less than five miles from the center of Nashua, and three miles from the Everett Turnpike/Route 3. The building is open year round, 24/7.

There currently is no further information provided on the facility's website regarding its living arrangements and related offerings, however, a total of six individuals polled by on the matter approved of the facility's upkeep.

Cleanliness and Upkeep: 4/5


At the time of this writing, six alumni polled by about Keystone Hall submitted highly favorable feedback, as reflected in the perfect five-star rating they all gave to the effectiveness of treatment they received. The four and five former clients who responded to a series of evaluated metrics offered more detailed impressions, praising the facility's counseling options and staff experience while reported a high likeliness to recommend the facility to others.

Likelihood to Recommend: 5/5
Staff Experience and Training: 4.2/5
Counseling Options: 3.6/5

These former clients praised the staff and the combination of individual and group therapy sessions, expressed in a brief representative review as: “Recovery, good staff, clean. Changed my life.” Several appreciated the caring and support, such as one alum who added: “It allowed me the stability I needed to transition back into society and become a productive sober member of society.”

However, several noted the long wait time to be admitted for residential rehabilitation, which prompted one alum to write: “Takes to long to get in it. If someone decided to enter to the program, stay, they have a waiting list.” In addition to holistic offerings, others identified a need for improvements in the facility’s flexibility, range of offerings, and treatment of co-occurring disorders.

Holistic Offerings: 2.6/5

On secondary sites, Keystone Hall also received favorable coverage to date: 3.4 out of five stars based on five reviews on Google; and 4.3 stars based on 19 reviews on Facebook, which the organization can manage. [1] [2] Opinions clustered around the top five stars and lowest one star, although five-star ratings predominated.

Reviewers appreciated the kind staff and reported life-changing and life-saving experiences, such as P.C. on Facebook: “This place saved my life. You get out of this program what you put into it. On the small budget they have here they make sure everyone has a nice bed to sleep in, good food to eat and the staff is understanding as most of them have been through it themselves.” Conversely, negative reviewers criticized the lack of communication and coping skills training,perceived unjust staff behavior, and parking fees.


At the time of this writing, two loved ones who submitted their impressions of Keystone Hall to offered conflicting views, split between a five-star review and another of mainly two stars for a series of evaluated metrics. Although the satisfied loved on awarded perfect five stars to most metrics with a sprinkling of four and three stars, the reviewer rated holistic offerings two stars, which aligned with opinions of alumni who reviewed the facility for However, the loved one appreciated the ongoing support and caring counselors, who gave her mother “the best treatment.”

The other loved one, however, described the facility as understaffed and needing more individualized treatment plans and state-of-the-art exercise equipment. This critical reviewer reported high staff turnover and described staff as "not knowledgeable about Co occurring disorders."


The one staff member surveyed by to date, D.H., described the program as “evidenced based treatment” and staff support as the “best.” They highlighted the “client respect and diversity” at the facility and indicated no concerns about the level of care. D.H. concurred with alumni comments about limited space and the need expressed by a loved one for more exercise opportunities. However, this staff member would recommend Keystone Hall to others and rated both the staff’s training and experience as well as their interest in patients the top five stars.


According to the facility’s website, no one is denied services based on an inability to pay at Keystone Hall. Most private insurance is accepted, including Aetna, Blue Cross Blue Shield, and Cigna, and services are offered on a sliding fee scale. The fees listed for several services include $350 for an evaluation; $72 for a one-hour group therapy relapse prevention session; $260 each or $3,640 for 14 IOP sessions; and $550 per day or $15,400 for 28 days of residential treatment. To date, the six individuals polled by on the matter appreciated the facility's cost.

Affordability: 4.5/5

[1] GoogleReviews


Published on February 2019

User Reviews

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  • Treatment Effectiveness
  • Accommodations & Amenities
You can have personal counselor, group meetings, In and out patient service. You have to wait for a while to get in there. I really recommend this place, I know a lot of people that has been in this place, and they succeed. It means to me that is a good place to go.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Newer building which was a strength. No individualized tx plans; staffing, too small. High staff turnover, staff relapse, not knowledgeable about Co occurring disorders


  • Treatment Effectiveness
  • Accommodations & Amenities
individual therapy, groups of therapy were all strengths. Not having enough places for the amount of people in need. To me the most important thing I saw, was the service, people is there to help you out to achieve sobriety or drug addiction, but you have to your part. It is not easy to get in, but if you do , do not loose the opportunity to save your life.


evidenced based treatment and best staff support.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Recovery, good staff, clean. Changed my life, 3 years sober.


  • Accommodations & Amenities
  • Meals & Nutrition
It was what I needed. The Transitional Living Program was a 6-18 month program. I was there 15 months. It allowed me the stability I needed to transition back into society and become a productive sober member of society. I have over 3 yrs now and I am so grateful! Keystone Hall's Transitional Living Program is only a 90 day program due to a lack of funding. I needs to be at least a 6-12 month thing. People then will have the opportunity I had to get well then find a job, save money for their own place and begin life as a sober productive member of society.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
It has counseling person to person. Takes to long to get in it. If someone decided to enter to the program, stay, they have a waiting list.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
ongoing support and caring counselors but not a lot of state of the art exercise equipment. my mother got the best treatment from them.


  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Strengths: Staff, lots of good meetings. Kept busy and if you really want to stay sober you will like any safe place to get started.

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