Provides free and confidential telephone counseling for individuals struggling addiction to heroin and all other mind altering substances.

COTI provides certified recovery peer advocates to assist individuals overcome obstacles and barriers to accessing treatment.Services include: Mobile Treatment Services Drug and Alcohol Treatment Evaluation Referral to Detoxification/Inpatient or Treatment Provider In-Community services Care Management Family Support Services Medication Assisted Treatment via Telepractice Narcan Training Transportation to appointments

* Provides Comprehensive substance use disorder evaluations for individuals who are in need of assessing their treatment needs. * Operates Outpatient Services.* Offers Medication Assisted Therapy to include Suboxone, and naloxone, additional options are available. M.A.T. assessment is available.* Offers Adult Intensive Outpatient Program (IOP).* Facilates Education Therapy Program: educates those who have experienced problems in their life as a direct result of their alcohol/substance abuse. * Provides Relapse Prevention Program.* Offers Adolescent Outpatient Program.* Offers Outpatient Peer Support Program.* Provides Family Education/Support Program: support for those seeking information about substance use disorder and individual counseling.* Offers several school base programs:School Based Prevention Program (SPORT) provided to K-12. Too Good for Violence (TGFV) for K-8 students.School Based Intervention Program (Adolescent).* Offers Counseling services for substance use disorders to inmates at Cayuga County Jail.

* Offers Syringe Exchange Programs (SEPs), which provide new, sterile syringes, naloxone/Narcan, HIV/HCV testing and an array of counseling/educational services at locations throughout New York State. Drug User Health Hubs are co-located at SEPs and provide accessible primary care, medication for opioid use disorder and Hepatitis C care and treatment. Locations are partnered community organizations.

* Provides outpatient treatment for substance abuse and chemical dependency.

• Crisis intervention
• Co-occurring disorders
• Family program
• Intensive Outpatient Program (IOP)
• Adolescent treatment therapy
• DMV evaluations
• Specialized gay, lesbian, bisexual, and transgender (GLBT) program
• Medication Assisted Treatment (suboxone/methadone/vivitrol)

* Provides access to MOUD (Medications for Opiate Use Disorder) - Suboxone. * Offers overdose prevention training, overdose aftercare counseling, drug checking, and safety planning services. * Offers on-site free Narcan (naloxone) training and kit access. * Assists individuals with accessing other substance use treatment services. * Offers training to providers to ensure cultural comprehensiveness of services for medical, behavioral health, and substance use services for people who use and inject drugs.

Provides injection supplies (syringes, alcohol wipes, antiseptic towelettes, etc.) in order to prevent the spread of HIV, Viral Hepatitis C, and other blood borne illnesses. Accepts used syringes from community members and participants. Mobile services by appointment in: Chemung, Chenango, Cortland, Delaware, Otsego, and Tioga Counties.

Coordinates care for individuals dealing with substance use, including providing connections to mental health, chemical dependency, and rehabilitation services, as well as primary care, counseling, support groups, and employment and food assistance.

A 280-bed medical clinic facility with emergency care and medical clinic services.

Provides a safe space to support individuals in all stages of recovery. Offers various programs, meetings, and special events that are inclusive to the entire recovery community. The purpose is to help the individual and their support network develop the skills they require to maintain a successful recovery. This is a drop-in center and individuals are welcome and encouraged to drop in at any time during hours of operation.

Provides access to sterile injection sup0plies as well as safe disposal of used syringes. Offers naloxone (Narcan) training, safety planning, and risk reduction counseling.

Provides mental health and substanse use counseling referrals, aging assessments and services, and care facilitation along with other community based resources to adults 60 years of age and older to assist with their overall health and well-being.

* Supports the selling and furnishing of sterile syringes without a medical prescription in quantities of ten (10), including the proper disposal of used syringes.* Provides a resource that offers options for the safe disposal of used "sharps" - syringes, needles and lancets - to reduce the transmission of blood borne diseases, minimizing environmental waste and creating safer jurisdictions for the community and emergency medical staff.

* Provides free access to sterile injection supplies, as well as free, safe disposal of used syringes. * Offers naloxone (Narcan) training, safety planning, and risk reduction counseling. * Linkage services (short-term case management) to HIV, Hepatitis C (HCV), and STI testing, as well as help accessing care, substance use treatment, and social services.

Provides peer recovery coaching and focuses on the following: promoting recovery and wellness through person-centered planning and participation; identifying and locating activities that fuel recovery and wellness; identifying and addressing barriers to recovery and wellness; identifying connections and building supportive relationships with people and places in the community; identifying and developing skills/abilities that promote self-management and independence; and encouraging hope, optimism, and healthy living.

Provides comprehensive outpatient substance abuse treatment for individuals and families.

* Offers substance use evaluation and individualized treatment for adolescents and adults. Services offered include: Adolescent Services (works around school schedule). Opiate Dependence Group. Buprenorphine/Suboxone and Vivitrol Therapy. Relapse Prevention. Awareness and Dependence Groups.

Treatment and support services in a safe, structured living environment while adjusting to a clean, sober and healthier lifestyle. 24/7 co-ed supervised community residence recovery apartment program permanent supportive housing for people in recovery

Provides access to sterile injection sup0plies as well as safe disposal of used syringes. Offers naloxone (Narcan) training, safety planning, and risk reduction counseling.

Provides the services of recovery coaches, individuals with lived experience with substance use disorder, to connect with those seeking support in recovery from alcohol or other drug use.

Fentanyl testing strips are used to test for the presence or absence of fentanyl and many fentanyl analogs (very closely related drugs).Someone is in the office MOST of the time during the day, so it's best to call or message first.

Provides treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.

Provides peer recovery coaches (also known as peer mentors) to assist individuals seeking recovery from drug and alcohol addiction by accessing the systems needed to support recovery.

* Provides access to MOUD (Medications for Opiate Use Disorder) - Suboxone. * Offers overdose prevention training, overdose aftercare counseling, drug checking, and safety planning services. * Offers on-site free Narcan (naloxone) training and kit access. * Assists individuals with accessing other substance use treatment services. * Offers training to providers to ensure cultural comprehensiveness of services for medical, behavioral health, and substance use services for people who use and inject drugs.