Off Main Clinic provides methadone maintenance and detoxification to adults suffering from addiction to heroin and other opiates. The clinic is state-licensed and accredited by CARF International.

“We are not bad people trying to become good, we are sick people trying to become well.”- Anonymous Methadone Patient

As the leading provider of opiate addiction treatment services in Monterey County, Off Main Clinic (OMC) is strongly committed to bringing the very best and most effective treatment options to patients. OMC provides medically supervised methadone maintenance, detoxification and counseling to adults suffering from addiction to heroin and other opiates, including prescription pills. The clinic is state-licensed and accredited by CARF International. OMC complies with all federal Health Insurance Portability and Accountability Act (HIPAA) regulations.

In addition to providing methadone maintenance services, all patients receive one-on-one harm reduction counseling by highly trained professionals. Patients meet with their counselor to design a treatment plan to meet their individual goals. We offer both harm reduction and methadone-to-abstinence opportunities.

our staff

Counseling at CHS Off Main Clinic, is conducted by highly trained registered or certified addiction specialists. Our medical staff includes Licensed Vocational Nurses, Registered Nurses, Physician Assistants and a Medical Doctor.

Strength does not come from winning. Your struggles develop your strengths. When you go through hardships and decide not to surrender, that is strength.” 
– Anonymous


Methadone is a synthetic drug that is legal, inexpensive, does not damage body organs or tissues and, when prescribed and taken appropriately, does not create a euphoric high. Its rehabilitating effects include:

  • Relief from sickness resulting from withdrawal
  • Reduction of craving for opiates
  • Allows the time needed for other treatment methods to become effective
  • Eliminates the physical reasons for continued use of illegal drugs

“Nothing can stop the person with the right mental attitude from achieving their goal; nothing on earth can help the person with the wrong mental attitude.”
– Thomas Jefferson


To determine eligibility for services, Off Main Clinic provides a free of charge initial intake screening. Once it’s determined the patient meets eligibility criteria, the patient receives a physical examination by licensed medical professionals who are addiction experts. The patient is paired with a counselor who provides emotional support, treatment planning and guidance in helping the patient achieve their goals. The clinic dispenses methadone on an outpatient basis under the close supervision and guidance of a physician and other health specialists.

The clinic also provides HIV/Hepatitis C risk assessments, confidential HIV testing and disclosure sessions, harm and risk reduction, and education and referral services.

Off Main Clinic is a medical treatment program and has no formal affiliation with criminal justice agencies of any kind. Patient information is strictly confidential. Participation in the program is voluntary, and clients may end their participation at any time without penalty.

Faith is taking the first step even when you don’t see the whole staircase.”
– Martin Luther King, Jr.


Veterans of the United States armed forces may be eligible to have their fees paid for by the Department of Veterans Affairs. Please contact the clinic for more information.

“Don’t ask for a light load, but rather ask for a strong back.” – Anonymous


Medi-Cal is accepted for the maintenance program. Private pay fees for maintenance are $350 per month, and $300 per month for 21-day detoxification. Extended detoxification services are $350 per month for six months.


  • To schedule a confidential screening or to find out if you qualify for services, please call 831-424-4828
  • Off Main Clinic is located at 1083 S. Main Street, Salinas, CA 93901
  • Office Hours: M-F 6:00 am to 3:00 pm
  • Dispensing Hours: M-F  6:00 am to 10:30 am
  • Weekends & Holidays: 7:00 am to 9:30 am

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