Pyramid Charlotte Hall detox and Charlotte Hall
This page covers Pyramid Charlotte Hall detox and Charlotte Hall residential care. The center is one of 422 SAMHSA-listed facilities in Maryland. It offers detox and residential care for adults with co-occurring conditions.

- Residential Rehab
- Detox
- Co-Occurring Mental Health
- 30 days
- Spanish-speaking staff


Pyramid Charlotte Hall Detox and Residential sits on Business Center Drive in Charlotte Hall, near Highway 5 in St. Mary's County. It serves adults who need medical monitoring during withdrawal and a structured residential stay afterward. Detox runs around the clock with medical staff present, and residential care follows for people ready to keep working on recovery in a live-in setting. Each person s plan is tailored to their own needs, though typical program length is 30 days.
The center treats substance use disorders alongside co-occurring disorders, addressing both at the same time rather than one after the other. Care is individualized and trauma informed, combining medical support with counseling. Staff speak English and Spanish, and specialized services exist for pregnant women. Continuing care and discharge planning are also offered, so people leave with a plan for what comes next.
Pyramid Charlotte Hall detox
Detox at Pyramid Charlotte Hall is medically supervised and available around the clock. Clients are monitored while withdrawal is managed, and medication-assisted treatment is available to reduce cravings, especially for opioids. That medication can continue through residential care and beyond. Detox at this Maryland center is watched around the clock by medical staff, with 30-day residential care to follow. If someone is coming off alcohol or benzodiazepines, then medical supervision during withdrawal is important because those withdrawals can be dangerous without it.
In residential rehab, people live on site while they take part in therapy and groups. One-on-one counseling blends cognitive behavioral therapy, dialectical behavioral therapy, and acceptance and commitment therapy. The group schedule includes trauma groups separated by gender, along with 12-Step meetings such as AA and NA. When medication is needed for a mental health condition, psychiatrists oversee it. Family education classes give loved ones a way to understand addiction and learn how to support someone's recovery. Adults in Charlotte Hall can move from detox into a residential program that combines individual therapy, group work, and 12-Step meetings. If you are calling about a parent or partner, ask before the stay how family education classes fit around your schedule.
- Cognitive Behavioral Therapy
- Twelve Step
- Holistic
- Evidence-Based
- Medication-Assisted Treatment
- Relapse Prevention Counseling
- Trauma Informed
- Group Therapy
- Family Therapy
- Twelve Step Facilitation
Who Pyramid Charlotte Hall serves
- Adults with substance use disorders who need detox, residential care, or both
- People with co-occurring disorders such as depression, bipolar disorder, PTSD, OCD, or trauma
- Men and women, including pregnant women, who need a structured residential setting
- People who use opioids, alcohol, benzodiazepines, cocaine, methamphetamine, prescription drugs, or other substances
- Spanish-speaking clients, because the center provides services in both English and Spanish
- Families and loved ones who want education and a clearer picture of how treatment works
The Charlotte Hall setting
The center is in Charlotte Hall, Maryland, near Highway 5 in St. Mary's County, and it provides transportation statewide at no cost. During detox, contact with family is limited, which is common in medical detox settings. After detox, clients may have two phone calls each week. The Charlotte Hall location near Highway 5 offers free transportation statewide and limited family contact during detox. If you are driving in from elsewhere in Maryland, then the transportation option may make the trip easier to arrange.
Covering costs at Pyramid
Most private insurance and Medicaid are accepted here, and financing options exist. Cash pay rates are another choice for people without insurance. Pyramid Charlotte Hall takes Medicaid and most private insurance, and offers financing plus cash pay rates. When your plan comes through an employer, calling the number on your card to confirm coverage is worth doing before you travel. Federal parity law can shape how mental health and substance use benefits are handled, so ask your plan directly about those specifics.
Questions to ask Pyramid Charlotte Hall
- Will the center accept my particular insurance plan or Medicaid, and what will my cost be?
- How long will detox last for my loved one, and when does residential care begin?
- Can medication-assisted treatment continue after the residential stay ends?
- How many phone calls can families expect after detox, and when?
- Are Spanish-speaking services available for our family, and is transportation included?
- What should we bring to a 30-day residential stay?

More centers for comparison
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On Our Own of Howard County
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Humble Beginnings Recovery
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Worcester County Health Department
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The Worcester County Health Department Pocomoke City site is a publicly supported outpatient program.
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Cedar Ridge Ministries Childrens Home
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Cedar Ridge Ministries Childrens Home works with boys in rural Maryland.
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Elevate Recovery Centers
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When you are making calls on behalf of a family member or friend, questions tend to pile up fast.


Questions
How much does Pyramid Charlotte Hall cost?
Most private insurance and Medicaid are accepted, financing options exist, and cash pay rates are available. What you actually pay hinges on your plan and how long the stay lasts, so request a quote straight from the center. It is one of 422 SAMHSA-listed facilities in Maryland, and the surest way to know what you will owe is to ask about coverage ahead of arrival.
Is Pyramid Charlotte Hall a detox center or a residential rehab?
Both are offered there. The center runs detox that is medically supervised around the clock and residential rehab, with a program usually lasting 30 days. Many people begin with detox and then shift into residential care. Treatment for co-occurring disorders is built into the program, so concerns such as depression or PTSD are handled at the same time as substance use.
Does Pyramid Charlotte Hall accept Medicaid?
Yes, the center accepts Medicaid as well as most private insurance. Financing options and cash pay rates are also available. Because coverage varies by plan, call the center or your Medicaid program to confirm your specific benefits. Maryland has 422 SAMHSA-listed facilities, and not every one takes Medicaid, so confirming ahead saves time.
Can pregnant women get treatment at Pyramid Charlotte Hall?
Yes, specialized services for pregnant women are available at the center. Care is individualized and trauma informed, and the plan may include medication-assisted treatment. If you are pregnant and thinking about detox, speak with the center's medical staff about your situation before you go, because withdrawal requires careful management during pregnancy.
What is a residential rehabilitation program like at Pyramid Charlotte Hall?
In a residential program, you live at the center while attending therapy and groups daily. The typical stay at Pyramid Charlotte Hall is 30 days, and clients join individual counseling, group therapy, and 12-Step meetings. Psychiatrists manage mental health medications when needed. When your loved one needs ongoing medication-assisted treatment, it can continue during the residential stay and beyond.