Next time you are shopping around online and come across a deal on your prescriptions, take a closer look.
With the crackdown on opioids happening all over the nation, many people are finding new ways to try and get their hands on these powerful prescription drugs. Some may be illicit drug traffickers looking for a new way to get their supply and reduce the risk. Meanwhile, others may be everyday people looking for a cheaper, easier method to get their pain management medications. Either way, if you are getting your drugs online, it’s more than likely you’re breaking the law.
Online Opioid Pharmacies or Digital Drug Dealers
The internet is famous for making our lives more convenient. Whether we are shopping for new shoes, movie tickets, or even our weekly groceries, the internet has found a way to let it be a mouse click or touch-screen tap away. So of course, many would be willing to believe you could order plenty of your much-needed medications online. Yet, with a new report by the Center for Safe Internet Pharmacies (CSIP) we find most of these sales are actually illegitimate.
The report was initially released on opioid sales on the darknet. However, during the research, the CSIP found that people on both the Dark Web and “surface web” sell drugs like opioid painkillers. The distribution of these potent medications is being done through online opioid pharmacies. Nonetheless, according to the FDA:
97% of online pharmacies operate illegally
Just to break things down a little bit, let us explain two key terms.
The surface web is the portion of the world wide web as we know it that is readily available to the general public. This is where you do most of your online shopping, social media activity, and probably where you are reading this article right now.
Strangely, even though people would think that anything on the surface web is probably safer, the CSIP report states that “surface websites” actually involve higher risks for scams. For example, this would be non-delivery schemes where the site takes your money without producing a product, or credit card and identity theft.
This is the World Wide Web content that exists on “darknets”. These are networks that use the internet, but require specific software, configurations or authorization to access. The dark web forms a small part of the “deep web”, which is the part of the internet not indexed by search engines.
The Dark Web is where a lot of the internet’s most illicit activities actually happen. It is a modern digital underground.
Many of these so-called online opioid pharmacies are only click-baiting people into the illicit drug trade. In reality, these are drug-dealing websites set up to look like they simply sell prescription pills to those in need. Some even go as far as to offer prescriptions for the drugs. CSIP’s report also states that these online pharmacies will attempt to use social media platforms to advertise their products, including:
Some of these online opioid pharmacies will claim on their website that they are legitimate and legally approved. However, CSIP’s executive director Marjorie Clifton says that’s impossible for most of them. In one interview Clifton states:
“It’s absolutely illegal to buy opioids on the internet.”
Now, it is not entirely illegal to operate a pharmacy online. Clifton said that some non-opioid-selling pharmacies are legal. However, these entities do have to follow certain rules. For example:
- They must have a brick-and-mortar location
- Must be licensed in every state that they sell to
You can verify that the pharmacy that you’re buying from is legal by using tools created by the CSIP.
Not only is it risking legal action to use these illegitimate sources, it is also a serious health risk. Online opioid pharmacies may seem like an economical and efficient way to get medication, but non-certified pharmacies present significant danger because there is no way of knowing what you are getting. Clifton states:
“One, you might not get the concentration you thought you were going to get, it could be a placebo.”
“There have been cases when it’s rat poison or lead paint. So you have no idea what you’re taking if you’re not buying from a certified pharmacy.”
It is already dangerous enough for getting these medications illegally on the street. Over the years there have been countless reports of other powerful and toxic substances being pressed into forged pill forms. That risk is very real when buying drugs from an anonymous source over the internet.
Internet Associations Fighting Back
CSIP is an organization made up of representatives of companies like Google and Microsoft. Clifton says there are no ties between this tech industry collaboration and the pharmaceutical industry. The organization says it is committed to reducing harm from illegitimate online opioid pharmacies. Clifton also says that the issue of drug addiction is personally devastating, adding that several board members have lost loved ones to addiction.
So far, CSIP has removed more than 100 million ads and social media posts. The organization has effectively shut down thousands of illegal online opioid pharmacies. Many of these sites were functionally the same illegal pharmacies operating with different URL’s, but belonging to the same scammers.
Even though increased regulation resulted in a small jump in darknet sales, the vast majority of prescription drug abuse comes from prescriptions written by actual doctors. Overall, the CSIP report found that less than 5% of opioids purchased in the US came from anywhere on the internet. CSIP reports were also utilized in the Online Opioid Summit hosted by the FDA last month when top names in internet stakeholders got together with advocacy groups and other government officials to discuss the role internet companies play in combatting the opioid crisis. Most of the tech industry insists they should not be blamed for the opioid crisis.
Still, the organization is trying to play a part in eliminating online opioid pharmacies. Beyond that, we should also focus on promoting safe medical detox opportunities, along with dual diagnosis programs and holistic drug treatment options.
When we talk about fighting the spread of addiction, one thing we have to remember is to make sure people looking for help get all the information they need. Palm Partners Recovery Center believes that we should also focus on using our digital footprint to help people learn about the risks associated with substance abuse, and give them the opportunity to learn about safe and effective treatment. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now.
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Every day, thousands of men and women all over America lose their lives to heroin addiction. In every state, there are families and communities suffering from the loss of friends, neighbors and loved ones. Heroin addiction is more prevalent than ever before in our country.
At the same time, there are people every day trying to give up using heroin and other opioid drugs. Some people try to do it on their own, and very few of them succeed. Many end up relapsing due to the pain of withdrawal and the intense dependence on this life-threatening drug.
But there is hope. With professional help and safe, medically assisted heroin detox many people have the opportunity to build a strong foundation for recovering from their addiction.
Let us look at what you need to know about heroin detox when you reach out to get help.
Heroin Detox: Understanding Drug Dependence
Like most drugs, excessive and prolonged abuse of heroin leads to a medical condition called Substance Use Disorder (SUD). But a crucial part of the development of a SUD is drug dependence, and there are two particular kinds of dependence that people should understand.
This is about how your body adapts to substances. When the cells of your body can’t function without a substance, that is a clear indication of physical dependence. The body gets used to the presence of a chemical over time, so when the chemical is no longer present the body is forced to regulate itself.
The body also stops producing certain chemicals in the brain naturally because it gets them artificially through drugs. However, once you stop using the drugs the body is no longer producing what it needs.
Physical dependency becomes pretty apparent when you try to stop using heroin without any medical help. When you try to stop using abruptly you experience extremely uncomfortable physical withdrawal symptoms because of the imbalance in the body.
Psychological or emotional dependence is a result of the changes a drug creates in the mind. It is defined as a compulsion or perceived obsession for the substance. So while the individual may not be experiencing intense physical withdrawal, they may be psychologically impaired by the abrupt absence of a substance they have adapted to.
Instead of developing healthy coping skills, most heroin users tend to rely on the drug for dealing with emotional or behavioral issues. If they suddenly remove the drug, they are left defenseless against their issues.
If someone relies heavily on drugs for feelings of pleasure and stimulation, removing the drug may cause them to feel they cannot be happy without it. This is impacted by the drugs chemical interaction with the brain.
And at the end of the day, physical addiction can have psychological side effects, and vice versa. That is why heroin detox should not only offer medical assistance, but also therapeutic resources.
Heroin Detox: Withdrawal Symptoms
Suddenly stopping heroin without any medical assistance is called going “cold turkey” and it throws you almost immediately into withdrawal. “Cold turkey” is not just uncomfortable, it is dangerous. These heroin withdrawals manifest both physically and psychologically, and the symptoms can range in severity and frequency. Some examples of heroin withdrawal symptoms including:
- Extreme anxiety
- Excessive yawning and sneezing
- Runny nose
- Cold sweats
- Cramp-like pains
- Involuntary spasms in the limbs
- Severe muscle and bone aches
Trying to go through withdrawal from heroin without help is extremely difficult. Some people find it impossible due to the severity of their symptoms. Many people find themselves trapped in a cycle or relapse and attempts to recovery because withdrawal symptoms can be so hard to overcome.
This is why heroin detox is so important. This level of care can help ease you off of heroin and other opiates gradually with the use of medications specifically designed to assist with heroin withdrawal symptoms. Having a safe and experienced medical staff makes this process much more manageable. With a physically and emotionally healthy environment, you can start to establish a comprehensive recovery plan.
Heroin Detox: Safe, Medical Care
Heroin detox should always consist of two phases: evaluation and stabilization.
During this first stage of heroin detox, the individual will be given an assessment in order to determine the best course of treatment. It will include obtaining information about:
- What drugs they have been using
- The presence of drugs in their system
- What quantities of drugs have they been using
- How long have they have been using these drugs
- Other medications
- Co-occurring conditions
This is done through a drug screen, along with any further information you provide during the assessment. Because programs for heroin detox are in a medical setting, the results of your drug screen and information disclosed during your assessment are strictly confidential just like any other medical information is.
During a heroin detox program, the stabilization stage will utilize all the information you provide during your initial assessment to design an effective detox plan. Taper medications are often used in order to wean you off of heroin in both a safe and comfortable way. Detoxing from heroin and other narcotic opiates like prescription painkillers should always be done in a professional and effective manner.
There are many kinds of medication designed to help combat opioid addiction. Carefully consider your options with the medical addiction specialist to ensure you are getting the best possible care. Be sure to provide them with accurate health information for the best results.
Quality care during stabilization should also include providing therapeutic resources for the emotional and psychological side effects. Having support for your mental and emotional well-being is also extremely important for relapse prevention. It lays the groundwork for developing healthy and sustainable coping skills. With the right care, you can take this time to design a personalized recovery plan that is right for you and addresses all of your specific needs to help you be more successful in recovery.
Are you struggling with a dependence on heroin? Are you trying to quit but have failed on your own? Consider reaching out to the caring and compassionate professionals of Palm Partners Recovery Center. If you or a loved one is struggling with heroin abuse or addiction, please call toll-free now. We want to help.
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Connect to the wifi and check your wallet app. Today we are talking about the crooked connections to cryptocurrency.
In a new age of electronic economics, one brand has made a lot of noise- Bitcoin. As early as 2009, when it was created, people began to stockpile the stuff. It was the first decentralized digital currency, and it has inspired thousands to risk this uncharted financial frontier with hopes of discovering a quick way to score some real-world cash from encrypted accounts. Then, just last year the cryptocurrency trend exploded onto Wall Street and ever since people have been trying to take advantage of the hype before the well runs dry. Suddenly anyone with a little extra scratch has become a cyber stockbroker.
While some have tried to cash in just to see if they can hit the crypto-lotto, others have become Bitcoin millionaires. But some of those people were actually gathering those funds through illicit means, like fentanyl trafficking.
Bitcoin for Beginners
For many of us, the whole Bitcoin thing is still a bit confusing. If some of these explanations seem oversimplified for anyone currently obsessed with cryptography, “block time” or whatever a “Merkle tree” is… I’m sorry, I guess.
Bitcoin was originally designed as being a truly free-market currency. This means without any company, country or central bank controlling its value or supply. Bitcoin takes no physical form, but actually only exists as a virtual token. Transactions are recorded in an open public ledger known as a blockchain. This peer-to-peer network avoids many risks of having a central database. But, while the transactions are typically public, the Bitcoin ownership is not.
The digital tokens are stored in a digital wallet that is only identified by a series of numbers and letters. A lot of times people using the digital wallet remain anonymous because they don’t have to provide any personal information to set up their accounts.
Because of all the freedom of Bitcoin, along with its anonymity, it became extremely useful for those involved with the Dark Web. You can read plenty more on that subject, but essentially is it another layer of the internet criminals use for conducting illicit business. One site from the Dark Web would be the infamous Silk Road.
The Future of Fentanyl Financing
Authorities say that bitcoin has helped create a new generation of criminals who buy and sell drugs online. It has become much easier for drug dealers to cover their tracks with cryptocurrencies.
Which of course leads us to fentanyl trafficking. For a long time the majority of drugs sold on the Dark Web were:
However, the sale of fentanyl is rising rapidly. Considering most fentanyl is sold online from dealers overseas, it makes a lot of sense that traffickers would rely heavily on digital money. Greg Nevano, the Deputy Assistant Director of Homeland Security Investigations states,
“You can order illicit opioids right online and have them delivered right to the comfort of your living room.”
According to CDC data, nearly 20,000 people died after overdosing on fentanyl in 2016. This is a huge contributing factor to one of the worst drug epidemics in American history.
For example, undercover investigators working for a Senate committee led by Ohio Republican Rob Portman talk about an e-mail from a fentanyl dealer with an important message for potential buyers. The fentanyl trafficker states:
“We have switched to bitcoin payments only. Now you will enjoy a 10 percent less price tag on all products,”
The email also points out:
“Good part is that paying by bitcoin you can order as much as you like with no limit.”
Ohio is suffering from one of the highest rates of fentanyl overdose deaths in the country. This particular investigation was part of a yearlong inquiry into the international supply chain that funnels fentanyl from China to homes across America. Earlier this year, the committee released a report which tracked activity on six websites offering fentanyl. That report indicated:
In each of these cases, the sites list bitcoin as the preferred method of payment. Portman himself adds,
“Because it’s anonymous, it’s the currency of choice for these drug traffickers,”
Just last fall the Justice Department shut down another illicit online marketplace called AlphaBay. In this case, the Justice Department seized around 144,000 Bitcoins, which comes out to around $48 million.
Cracking Down on Cryptocurrency
Lawmakers in Washington have come to the conclusion that cracking down on cryptocurrency is essential in order to stop the flow of fentanyl coming into the United States. Thankfully, this is one thing that officials from both sides of the aisle agree must be addressed.
Republican Senator Chuck Grassley from Iowa and Democratic Senator Dianne Feinstein from California have presented a bipartisan bill that would create explicit requirements for digital currencies to comply with laws against money laundering. Attorney General Jeff Sessions launched a task force earlier this year to specifically target fentanyl sales online.
Can We Blame the Crypto?
Meanwhile, many advocates for cryptocurrencies are not happy about these new campaigns. Perianne Boring, president of the Chamber of Digital Commerce, is one person who fights on behalf of Bitcoin, stating:
“Blaming bitcoin for this crisis would make as much sense as blaming the internet or cars that drug traffickers have to use.”
Boring’s organization is trying to help. They are part of the Blockchain Alliance, working with more than two dozen companies to help authorities combat crime.
Industry groups also reject the claim that cryptocurrency is anonymous and untraceable. They say Bitcoin users are “pseudononymous” because buying Bitcoin does require real money. Advocates insist that most users convert real cash through exchangers that do actually collect personal information. They also argue that in order to spend that Bitcoin, users will have to convert it back to real money, and that’s where law enforcement can intercept illegal operators.
Crypto-advocates also point out that cryptocurrency exchangers in the United States are also subject to federal reporting requirements and laws against money laundering. Earlier this year an industry analysis by the Foundation for Defense of Democracies found:
- Less than 1 percent of bitcoin is used for illegal purposes.
- Almost all of the illicit activity came from transactions on the dark web
However, the report also goes into detail about ways criminals can avoid regulated currency exchangers altogether. This includes using foreign converters or “mixing” sites that allow users to swap Bitcoin.
Meanwhile, new cryptocurrencies that are even harder to trace are gaining in popularity. So it would seem that as soon as the system catches up to a new digital trend, someone creates a copy and the cycle starts all over.
So can Bitcoin and other cryptocurrencies expect to be subject to new attempts at strict regulation? If so, what kind of regulations should be put in place to track digital transactions and prevent further abuse for illicit profits?
The evolution of the internet has changed how illicit drug markets work. The fight against drug trafficking is more complex than ever before, and strategies for facing drug dealing, drug use, and addiction have to evolve, too. This also means providing innovative and cutting-edge treatment options. If you or someone you love is struggling with substance abuse or addiction, please call toll-free 1-800-951-6135. We want to help. You are not alone.
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Zuckerberg Testimony: Should Facebook Be Stopping Opioid Trafficking?
Author: Justin Mckibben
This past Tuesday and Wednesday, Facebook co-founder and CEO Mark Zuckerberg found himself sitting in front of a tough crowd on Capitol Hill for 2 days of questioning that covered various topics about the social media empire. The testimony covered how Facebook influences politics, handles user data, and what steps are being taken to prevent abuse of the massive tech companies international platform.
During the testimony of Mark Zuckerberg, the topic came up of drug trafficking, specifically opioid sales, through Facebook.
Is Social Media Enabling Illegal Activity?
The line of questioning concerning opioids came from David McKinley. McKinely is the Republican Representative from West Virginia. On day two of the testimony, Mark Zuckerberg was grilled about opioid dealers abusing the social media space in order to distribute their drugs. During the conversation, McKinley states,
“Your platform is still being used to circumvent the law, and allow people to buy highly addictive drugs without a prescription,”
The Congressman went on to ask,
“With all due respect, Facebook is actually enabling an illegal activity and, in so doing, you are hurting people. Would you agree with that statement?”
“Congressman, I think that there are a number of areas of content that we need to do a better job of policing on our service. Today the primary way that content regulation works here … is that people can share what they want on the service, and then if someone sees an issue they flag it to us, and then we will review it.”
During McKinley’s comments, he actually shows Zuckerberg with images on a screen that opioids and other prescription narcotics are still actively being sold via Facebook. Later in McKinely’s statements he adds,
“That was just from yesterday. It’s still up. So my question to you is- when are you going to take down these posts that are done by illegal digital pharmacies?”
“Congressman, when people report the posts, we will take them down and have people review them.”
When the congressman continued to press Zuckerberg on Facebook taking responsibility for the posts made on the platform concerning illegal drugs, Zuckerberg replied,
“Congressman, I agree that this is a terrible issue and respectfully, when there are tens-of-billions or a hundred-billion pieces of content shared every day… even 20,000 people reviewing it can’t look at everything. What we need to do is build more AI tools that can proactively find that content.”
- AI referring to artificial intelligence.
This is not the first time critics have called out tech companies for falling short on policing illicit drug sales through their platforms.
In 2011, search-engine giant Google agreed to pay $500 million to the Department of Justice for showing prescription drug ads from Canadian online pharmacies to U.S. consumers. Only a week before Zuckerberg sat down to speak with Congress, the FDA Commissioner Scott Gottlieb had already called on social media platforms to root out and exterminate the online opioid trade. Gottlieb stated,
“We find offers to purchase opioids all over social media and the Internet, including Twitter, Facebook, Instagram, Reddit, Google, Yahoo, and Bing. But when it comes to opioids, we haven’t seen meaningful, voluntary actions.”
Some of the posts McKinely flagged to Facebook have already been taken down. However, McKinley still says that Facebook’s internal controls “don’t seem adequate” in regards to detecting and removing illegal drug posts.
Are Zuckerberg and Facebook Responsible?
The biggest theme- whether it came to Cambridge Analytica, censorship of political views, selling consumer data or illicit opioid marketing- was accountability.
The question throughout the testimony is- are Zuckerberg and Facebook responsible?
Some have argued that if Facebook intends to censor things like hate speech or political interference, then they should also be responsible for monitoring and shutting down any illegal activity happening on the website. Some people believe that if drug dealers are posting on social media, their posts should be automatically removed. That is a good goal. Others might even insist that Facebook should report these profiles to law enforcement to help investigate dealers and make more arrests.
But should Facebook be mandated and regulated to enforce these ideas? Moreover, should they be punished when people manage to cheat their system or slip through the cracks?
Many might argue Facebook should not be punished for the posts individuals make. One comparison might be that we do not prosecute cell-phone service providers when their products and services are used in illegal activity. And if we expect Facebook to thoroughly monitor all activity and report any suspicious behavior to the authorities, should cellular services be held to the same standard?
While private phone-calls are a far cry from public posts to the internet, what is the best way walk this line of privacy and security in the digital age?
Is it fair to say that Mark Zuckerberg is himself hurting people because his company is unable to police the hundreds of billions of posts made to their site every day? Or is it true that the company is slacking when it comes to addressing these issues promptly and effectively?
Social media is changing a lot of the way we communicate, and like any other advancement, it can be taken advantage of. One thing is certain; if we want to fight the opioid epidemic we have to put more research into prevention, and more focus and support into safe and effective treatment. Technology can impact drug use, but it can also connect people and help them get on the right path toward recovery. If you or someone you love is struggling, please call toll-free now. We want to help.
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Author: Justin Mckibben
In Philadelphia, there have been nearly 800 fentanyl overdoses this year.
According to figures released by the US Centers for Disease Control and Prevention (CDC) a sharp rise in drug overdose deaths, which many attribute in part to fentanyl, is causing a drop in American life expectancy.
As 2018 begins, many are afraid of what the future may bring concerning more deadly drugs reaching the streets, overdoses, and deaths. One area, in particular, is the streets of Philadelphia. Now, many in the area are pointing out that heroin is no longer the poison most popular on the illicit market. Fentanyl in Philadelphia is now the main ingredient in the drug problem.
How Fentanyl in Philadelphia is Changing the Scene
Patrick Trainor is a special agent with the Philadelphia division of the Drug Enforcement Administration (DEA). Trainor has kept an eye on the Kensington neighborhood for two decades. When talking about the drastic impact the lethal synthetic opioid has brought to the heroin market, he states,
“Fentanyl has drastically changed the landscape… Sixty-four percent of fatals in Philadelphia County are fentanyl-related. There’s no dope out here now, it’s all fentanyl. Even the old timers are scared of it.”
In areas like Emerald Street, AKA Emerald City, even drug users carry Narcan regularly.
Dangers and Death
Even addicts who are now content with using fentanyl are aware of the risks. But many say that compared to heroin, fentanyl’s rush is intense and immediate.
It is painful to use because it burns the vein. Some choose to chance the elevated risk of abscesses by injecting under the skin. This practice is said to reduce the risk of overdose and prolong the high. Yet, overdoses come almost instantaneously. Beyond that, the comedown of fentanyl is said to be abrupt, and the withdrawal period is a long and difficult one.
Tolerance for the drug builds quickly; dependence on the drug is rapid and pretty much unavoidable. Even those revived by Narcan can fall back into overdose due to the immense strength of the drug.
A lot of the issues related to fentanyl in Philadelphia can be connected to how it hit the street in the first place. According to interviews with drug users in the Kensington area, when fentanyl first started flooding the market the dealers didn’t know how to handle it, and the users didn’t even know about it. They had no idea about the risks of the drug, and overdoses were everywhere.
But then the dealers caught on when customers started dying all over, and so they changed the way they cut the drug in order to keep their consumers. Trainor himself notes,
“You’re paying the same for something that’s roughly 100 times more powerful, so why would you buy heroin? The demand is for the most powerful thing they can get. Heroin will never be able to compete with fentanyl. It just can’t.”
There is no wonder why fentanyl in Philadelphia has become the dealers choice, the economics of fentanyl trafficking are easy to understand.
Unlike with heroin, there is no need to wait for the poppy harvest to start production. To yield a kilo of fentanyl, the chemicals one would need cost less than $5,000. At $55,000-$60,000 per kilo delivered, fentanyl is the about the same price as heroin but earns traffickers far more once it is cut and packaged for the street.
Each kilo of fentanyl can be cut out to approximately 330,000 doses, according to Trainor. A single kilo is enough to kill half of the counties residents.
Two factors make fentanyl in Philadelphia such a difficult drug to get ahead of:
No dominant trafficker
With drug problems in the past, a substance coming into any area would probably be controlled by a single, relatively predictable trafficker or trafficking family, but not with fentanyl.
This incredibly powerful and potentially life-threatening drug is coming from China, ordered over the dark web, or coming up from Mexico. It isn’t being shipped in through the typical channels, and thus law enforcement has found it increasingly difficult to track.
It is easy to modify
Fentanyl is a synthetic drug, therefore it is pretty simple to change the formula. Every time traffickers make subtle changes to the chemical ingredients of their batch, the DEA analysts struggle to adapt and catch on before the recipe has been changed again.
“It used to be just fentanyl but now we’ve noticed eight different analogs in this area and around 40 nationally. Our chemists estimate there could be 200 additional variants.”
One of those variants is Carfentanil. This horrifically hazardous material is a painkiller… for elephants and other large mammals! It is estimated to be up to 10,000 times stronger than morphine. Carfentanil has shown up in other areas in the past, such as Cleveland, Ohio. It is still rare for street consumption, but it has shown up along with fentanyl in Philadelphia medical examiner’s office.
Over the past three years, fentanyl-related deaths across America have increased by 540%. According to the Journal of the American Medical Association, for the first time, the majority of fatal overdoses are fentanyl-related, accounting for nearly all the increases in drug overdose deaths from 2015 to 2016. Part of facing the ongoing opioid epidemic is providing effective and comprehensive addiction treatment opportunities. As more and more people die every day from these insidious substances we have to do all that we can to help fight back. If you or someone you love is struggling with substance abuse or addiction, please call toll-free now. We want to help!
CALL NOW 1-800-951-6135