Top 39 Alcohol & Drug Rehab Centers in North Carolina & Free Treatment Resources

Find the best addiction treatment centers in North Carolina. Browse 580+ outpatient rehabs, 300+ inpatient rehabs, and 250+ detox clinics in the state. Get the answer to common rehab FAQs including how much rehab costs in North Carolina, substance abuse statistics, and important drug laws.
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Expert Insights

I recently learned about a new bill making its way through the North Carolina Senate, and I am very impressed with the bipartisan proposal meant to help fight back against the opioid epidemic. Known as Senate Bill 189, the proposal asks for much stricter charges and sentences for drug dealers, expansion of the state’s Good Samaritan Law in order to encourage more people to call 911 when they witness a potential overdose, and the creation of a task force that would aid state and local law enforcement in the trafficking and manufacturing of fentanyl, heroin, and other control substances. To illustrate the potential power of this bill, let’s say someone is caught selling fentanyl in North Carolina. Under this bill they can be prosecuted under a B2 felony – that’s a charge of second degree murder! .This bill has already passed the first round of reading in the NC Senate. If it’s signed into law, as it is expected to be, it would go into effect on December 1st of this year. Way to go, North Carolina!

~ Nikki Seay

How Much Does Drug Rehab Cost in North Carolina?

North Carolina is ranked 28th nationwide in terms of addiction treatment affordability, with an average cost of drug and alcohol rehab of $56,759 (without insurance).

  • Medical detox is the most expensive, with an average cost of $139,932
  • Long-term inpatient drug rehab in North Carolina costs an average of $50,086
  • Outpatient addiction treatment in North Carolina costs an average of $8,322
  • Outpatient methadone treatment is the most affordable, with an average cost of $7,394

The exact cost of rehab for addiction in North Carolina can vary widely. The final cost to you will depend on many factors, including:

Type of rehab (inpatient vs. outpatient)

Location (city vs. suburb)

Amenities and features (luxury vs. standard)

Length of treatment stay

Insurance plans accepted

How to Find Free Drug Rehab Centers in North Carolina

As of 2024, there were over 700 drug rehab facilities across the state of North Carolina. These facilities accept several payment methods. Of those treatment facilities, the following numbers reflect how many offer free or low-cost addiction treatment:

If you are uninsured, you can still seek testament at a state-funded facility. There are plenty of options when it comes to free drug and alcohol rehab in North Carolina.3

The centers serve specific regions within the state, so you would go to the center that treats people in the county where you live. Your doctor can refer you to one of the state centers, or you can seek treatment yourself without a referral. All admission decisions are based on evaluation by the center staff. If you don’t qualify for admission to the center, the staff will refer you to another facility.

Does Insurance Cover Rehab Center Costs?

If you have health insurance, your policy will pay for some treatment. All insurance must cover some care, whether it’s private insurance, Medicaid, Medicare, or military insurance. Coverage varies among providers and plans, so you should check the specifics of your insurance.

Some insurance policies will pay for care at state facilities. Check with your insurer to see how much it will cover. Not all facilities and detox centers in North Carolina accept every type of insurance, so you will need to be sure the North Carolina drug rehab you choose works with your policy.

How Do You Pay for Addiction Treatment in North Carolina?

If you can’t get a bed in a state-run center, you can still get help. Some private or non-profit facilities will work with you on managing your costs if you don’t have insurance.

In most cases, you will need to contact the facility and discuss your financial concerns with the staff directly. Together you can work out a plan that best services your needs.

If you work, your employer may offer to help you pay. Check if your workplace has an Employee Assistance Plan that could be helpful to you.

When you look for a center, ask if it offers:

Choose a Program that Offers Payment Plans: Some facilities offer payment plans. They will work with you and your insurance company to determine your share of the cost. Rather than asking you to pay all at once, they will set up a schedule of payments.

Apply for a Scholarship: You may be able to find a non-profit organization or treatment center that will offer a scholarship to pay for addiction treatment. The North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services can provide information about state-issued assistance.

Find a Sliding-Scale Program: Many North Carolina drug rehabs adjust their fees based on a sliding scale according to what patients are able to pay. The staff at the facility will ask you about your income, savings, and insurance policies.

North Carolina Alcohol and Drug Use Statistics

In 2021, 10.5% of adults in North Carolina said they used drugs (excluding cannabis) for non-medical reasons.1 Some other North Carolina substance use stats include:1

Choosing the Best Addiction Treatment Settings

Medical Detox is the process of cleansing your body of drugs and alcohol. If you are dependent on alcohol or drugs like opioids, quitting can lead to uncomfortable withdrawal symptoms. A detox can help manage those symptoms and reduce the risk of relapsing to substance use.

Inpatient rehab is the most structured and intensive setting, providing a peaceful and serene environment to kickstart your recovery away from everyday stressors. You live at the treatment center during care and receive a variety of therapies and interventions.

Partial Hospitalization Programs (PHPs), also known as day treatment programs, provide a high frequency of care—up to 30 hours per week—while still living at home.

Intensive Outpatient Programs (IOPs) range from nine to 20 hours of therapy per week.

Standard Outpatient is the least intensive and structured option. You live at home and commute to the treatment center or a therapist’s office for a few hours each week.

Aftercare programs allow you to continue building upon the support you had in care by attending recovery meetings, going to therapy, or transitional housing.

Does North Carolina Have Strict Alcohol and Drug Laws?

Drug Laws: North Carolina has strict drug laws, with a set of minimum sentences for trafficking offenses.4 Selling drugs or drug paraphernalia to minors carries additional penalties.

Court-Ordered Rehab: North Carolina does allow judges to order rehab instead of jail time. The state assists people in court-ordered recovery through “Recovery Courts.”5

Good Samaritan Law: There is a limited immunity provision for “good Samaritans” who call for medical assistance for someone experiencing an overdose. Callers cannot be charged with any misdemeanor possession violation or a felony possession violation if they have less than one gram of cocaine or heroin.

Specialized Drug Rehabs in North Carolina

You may want to find addiction treatment centers that align with your personal interests or values.

Holistic rehab refers to centers that combine evidence-based health treatments with alternative health modalities. These facilities focus on physical, mental, emotional, and spiritual balance. Holistic centers might offer services such as acupuncture, massage, aromatherapy, hypnotherapy, guided meditation, and diet and nutritional interventions.

Christian and Faith-Based facilities are for people with a strong sense of spirituality who might want a program that aligns with their religious values. Many use evidence-based methods and combine them with opportunities for worship and religious practice.

Luxury treatment centers emphasize comfort, amenities, and privacy in addition to addiction treatment. Many luxury facilities are located in idyllic locales, such as near the ocean or the mountains. The facility itself may look more like a resort than a detox center. It may offer special services such as gourmet food, fitness, swimming, yoga, or spa services.

Executive programs are geared toward people who don’t want to step away from all of their work obligations during care. Where many traditional facilities limit or prohibit the use of phones and computers, executive facilities allow people to stay connected to their workplaces. In some cases, business travel is permitted during care as well.

Dual Diagnosis programs are for people with mental health disorders, such as anxiety, depression, or posttraumatic stress disorder (PTSD), who are at increased risk for developing addictions. Anyone diagnosed with a co-occurring mental health condition should seek a program that addresses their specific needs regarding both addiction and mental health.

Types of Addiction Therapy Used in Drug Rehab

Substance addiction is a complex, multi-faceted condition that requires a combination of treatment modalities and therapies. Many rehabs offer multiple types of therapy designed to help patients address the cause of addiction, utilize coping skills, avoid triggers, and change behaviors going forward.

Cognitive Behavioral Therapy (CBT)

CBT focuses on helping patients identify their own problematic thought patterns and actions and to increase their understanding of how these behaviors impact their substance use. CBT is based on the idea that psychological problems are often rooted in cognitive distortions or faulty ways of thinking.

Dialectical Behavior Therapy (DBT)

DBT is a form of psychotherapy intended to help people change problematic thoughts and behaviors by learning to manage and change negative emotions rather than trying to escape from them.

Motivational Enhancement Therapy (MET)

MET is a form of therapy that helps individuals strengthen their internal motivation and create a plan for change. Individuals with SUDs are often ambivalent about changing their behaviors, even when they are aware of the damage caused by their addiction. MET has been used to improve engagement with treatment programs and reduce problematic behaviors.

Contingency Management (CM)

CM uses positive reinforcement to help build positive habits. This approach uses strategic rewards or incentives to encourage behaviors such as attending treatment sessions and engaging in recovery-focused activities.


Group therapy can be highly beneficial to individuals in a drug or alcohol treatment program. Group counseling provides a safe environment in which patients can build their interpersonal communication skills and learn from others who have been in their situation.


Family therapy is integral to many programs. Research shows that when combined with individual counseling, family therapy can help reduce stress, improve mental health conditions, and help prevent relapse.12

Should You Travel for Drug and Alcohol Rehab in North Carolina?

Choosing the location is ultimately up to you and your treatment priorities. Here are some reasons you may want to consider attending drug rehab centers in North Carolina:

  • You prefer the climate of North Carolina
  • You want a change of scenery
  • You can’t get the care you need in your home state
  • You have family or friends who live in North Carolina and can provide support
  • Your insurance covers treatment in North Carolina


  1. Opioid and Substance Use Action Plan Data Dashboard | NCDHHS. (n.d.).
  2. (n.d.). 
  3. American Health Rankings. (2022). Non-Medical Drug Use North Carolina.
  4. American Health Rankings. (2022.) Excessive Drinking in North Carolina.
  5. NC Department of Health and Human Services. (n.d.). Alcohol and Drug Abuse Treatment Centers.
  6. UNC Police. (n.d.). Federal, State and Local Regulations.
  7. North Carolina Judicial Branch. (n.d.). Recovery Courts.
Nikki Seay Bio Image
Nikki Seay, LPN, BS
Addiction & Mental Health Author
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Nikki brings more than 10 years' experience in content and healthcare. She holds a Licensed Practical Nursing degree and a B.S. in Marketing. In recovery since 2010, Nikki understands addiction from both a personal and a clinical point of view, which helps her create content that truly impacts our audience.
Medical Reviewer
Libby Pelligrini, MMS, PA-C
Physician Assistant & Medical Writer
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Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance use disorders informs her passion for addiction medicine.