Compare 703 drug and alcohol rehab centers across North Carolina, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down treatment options for yourself or someone you love.
183 Old Turnpike Road · Mills River, NC 28759Mills River, NC 28759
Mills River · Detox, Inpatient
Silver Ridge, a location of Pyramid Healthcare, is in Mills River, North Carolina. This addiction treatment center is LegitScript certified. They offer a range of treatment programs from residential rehab to outpatient treatment. Silver Ridge is in-network with Aetna, BCBS,…
3512 North Virginia Dare Trail · Kitty Hawk, NC 27949Kitty Hawk, NC 27949
Kitty Hawk · Inpatient
Changing Tides is a substance addiction treatment center located in the city of Kitty Hawk in North Carolina. The Outer Banks location offers beachfront views while you relax and recover in a tranquil setting. Withdrawal Management Program Their withdrawal management…
7349 Statesville Road · Charlotte, NC 28269Charlotte, NC 28269
Charlotte · Detox, Inpatient, Outpatient
Carolina Center for Recovery treats individuals who are suffering from drug and alcohol abuse as well as co-occurring conditions relating to mental health. They are located in Charlotte, North Carolina, and I was struck with the variety of treatment options…
2123 Hendersonville Rd · Concord, NC 28704Concord, NC 28704
Concord · Detox, Inpatient, Outpatient
Insight Recovery Center Asheville provides substance abuse and mental health treatment in Concord, North Carolina. They have a team of compassionate staff members focused on the best methods to help guests overcome addiction challenges. Person-Centered Focus One of the standout…
1820 James Street · Durham, NC 27707Durham, NC 27707
Durham · Detox, Inpatient
Triangle Residential Options for Substance Abusers (TROSA) is an award-winning and peer-driven addiction treatment program serving the community of Durham, North Carolina. This is an innovative multi-year residential program that provides housing, health services, mentorship, and counseling. The goal is…
919 Phillips Ave Ste 107 · High Point, NC 27262High Point, NC 27262
High Point · Detox, Inpatient, Outpatient
TruHealing High Point offered outpatient drug treatment in High Point, North Carolina. They permanently closed their doors shortly after COVID-19. They were an opioid addiction treatment center that was nationally recognized and accredited by The Joint Commission. This clinic was…
10348 Park Rd · Charlotte, NC 28210Charlotte, NC 28210
Charlotte · Detox, Inpatient, Outpatient
The Blanchard Institute in Charlotte, North Carolina is CARF accredited and certified by The Joint Commission, and is an NAADAC Approved Education Provider. They are in-network with many insurance providers, may be able to get some services approved with out-of-network…
2520 Troy Drive · Wilmington, NC 28401Wilmington, NC 28401
Wilmington · Detox, Inpatient, Outpatient
Wilmington Treatment Center in Wilmington, North Carolina, provides a tranquil coed recovery environment for adults struggling with drug or alcohol use disorders. Providing you with a serene and safe setting to safely detox and start residential treatment, they offer the…
9 Old Burnsville Hill Road · # 7, Asheville, NC 28804Asheville, NC 28804
Asheville · Inpatient, Outpatient
Asheville Recovery Center is a CARF-accredited addiction treatment facility in Asheville, North Carolina, that provides outpatient programs for individuals who are experiencing mental health or substance use disorders. The facility runs on the Matrix Model and is licensed by North…
800 North Mangum Street Suite 400 · Durham, NC 27701Durham, NC 27701
Durham · Detox, Outpatient
BAART Programs is located in Durham, North Carolina and is a premier outpatient treatment facility for men and women 18 and over with mental health or substance use disorders. The facility accepts most private insurance plans as well as Medicaid,…
1089 X Ray Drive · Gastonia, NC 28054Gastonia, NC 28054
Gastonia · Detox, Inpatient
Freedom Detox is located in Gastonia, North Carolina, and offers services to help individuals address mental health and substance use disorders. Regardless of whether your journey requires residential, outpatient, short-term or long-term support they have programs for each unique situation.…
191 Charlotte St · Asheville, NC 28801Asheville, NC 28801
Asheville · Detox, Inpatient, Outpatient
Situated in Asheville, North Carolina, Oasis Recovery Center provides addiction treatment services for individuals who are struggling with drug or alcohol addictions. They do this by combining traditional therapies with holistic ones, making a blend that is ideal for your…
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Asheville Recovery Center |
9 Old Burnsville Hill Road, # 7, Asheville, NC 28804 |
Asheville Recovery Center is a CARF-accredited addiction treatment facility in Asheville, North Carolina, that provides outpatient programs for individuals who are experiencing mental health or substance use disorders. The facility runs on the Matrix Model and is licensed by North Carolina Division of Health Service Regulation. They accept private insurance plans, self payment and some plans from the Affordable Care… |
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Crest View Recovery Center Asheville |
90 Asheland Avenue, Asheville, NC 28801 |
Crest View Recovery Center Asheville is an addiction treatment facility located in Asheville, North Carolina, that provides inpatient and outpatient programs in Buncombe County. Since 2015, the Asheville location has provided residential treatment, outpatient programs and a partial hospitalization program. Additionally, they offer specialized programs tailored for young adults aged 18-24, veterans and the LGTBQ community. The organization’s high standards… |
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Next Step Recovery |
900 Hendersonville Road, 203, Asheville, NC 28803 |
Next Step Recovery is a nonprofit treatment center located in Asheville, North Carolina, that provides programs for men aged 18 to 40 who are experiencing substance use and mental health disorders. The facility accepts most private insurance plans and self-pay options. They also offer financial assistance through their partnership with Optimum Practice Financial. Outpatient Treatment Options Next Step recovery offers… |
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October Road |
119 Tunnel Road Suite D, Asheville, NC 28805 |
October Road provides substance abuse treatment in Asheville, North Carolina. The staff believes in supporting people when they need it most with the services to overcome addiction for good. Community Treatment They have an Assertive Community Treatment Team (ACTT) that offers high-intensity behavioral health care. This service caters to those who may be underserved and need substance use treatment, mental… |
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BAART Programs Durham |
800 North Mangum Street Suite 400, Durham, NC 27701 |
BAART Programs is located in Durham, North Carolina and is a premier outpatient treatment facility for men and women 18 and over with mental health or substance use disorders. The facility accepts most private insurance plans as well as Medicaid, Medicare and Veterans Affair Healthcare. They have self-pay options too and financial assistance for low income individuals. A Healing Methadone… |
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Triangle Residential Options for Substance Abusers |
1820 James Street, Durham, NC 27707 |
Triangle Residential Options for Substance Abusers (TROSA) is an award-winning and peer-driven addiction treatment program serving the community of Durham, North Carolina. This is an innovative multi-year residential program that provides housing, health services, mentorship, and counseling. The goal is for residents to heal from addiction and live better lives. Cost-Free Treatment Program TROSA is free of charge to residents.… |
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New Season Treatment Center Fayetteville |
418 Person Street, STE 103, Fayetteville, NC 28301 |
New Season Fayetteville Treatment Center is a well established outpatient addiction treatment center that specializes in opioid addiction programs for men and women struggling with mental health and substance use disorders. Located in Fayetteville, North Carolina, and certified by CARF and SAMHSA, they are one of the top locations able to provide rehabilitation services in the Cumberland County community. They… |
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Freedom Detox |
1089 X Ray Drive, Gastonia, NC 28054 |
Freedom Detox is located in Gastonia, North Carolina, and offers services to help individuals address mental health and substance use disorders. Regardless of whether your journey requires residential, outpatient, short-term or long-term support they have programs for each unique situation. The facility is accredited by The Joint Commision and is LegitScript certified. They accept most private insurance plans, TRICARE, self… |
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Changing Tides Addiction Treatment Center |
3512 North Virginia Dare Trail, Kitty Hawk, NC 27949 |
Changing Tides is a substance addiction treatment center located in the city of Kitty Hawk in North Carolina. The Outer Banks location offers beachfront views while you relax and recover in a tranquil setting. Withdrawal Management Program Their withdrawal management service provides medication-assisted treatment (MAT) for clients struggling with opioid addiction. They use FDA approved medicines that reduce cravings and… |
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Red Oak Recovery |
631 Willow Creek Road, Leicester, NC 28748 |
Red Oak Recovery in Leicester, North Carolina, is CARF accredited and LegitScript certified. They’re members of the NAATP and The Association for Addiction Professionals. They’re set in the Blue Ridge Mountains and emphasize clinician-run programs. The center is in-network with BCBS, Aetna, First Health, Humana, Ascension Health, and Optum United Health and will work with out of network insurances. Payment… |
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Pavillon Addiction Treatment Center |
241 Pavillon Place, Mill Spring, NC 28756 |
Pavillon is a nonprofit addiction treatment center in Mill Spring, North Carolina. It offers both residential care and outpatient care to adults in the North Carolina area. Outpatient Virtual Options Outpatient visits isn't on the Mill Spring campus, as the outpatient rehab is currently virtual. Adults living in North Carolina or South Carolina can join Pavillon's virtual IOP, an intensive… |
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Silver Ridge |
183 Old Turnpike Road, Mills River, NC 28759 |
Silver Ridge, a location of Pyramid Healthcare, is in Mills River, North Carolina. This addiction treatment center is LegitScript certified. They offer a range of treatment programs from residential rehab to outpatient treatment. Silver Ridge is in-network with Aetna, BCBS, Cigna and Humana, and can qualify for some out-of-network coverages. They’re part of the VA CCN as well so they… |
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Wilmington Treatment Center |
2520 Troy Drive, Wilmington, NC 28401 |
Wilmington Treatment Center in Wilmington, North Carolina, provides a tranquil coed recovery environment for adults struggling with drug or alcohol use disorders. Providing you with a serene and safe setting to safely detox and start residential treatment, they offer the opportunity to work through addiction treatment with a team of highly experienced and specialized staff by your side. Services include… |
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Oasis Recovery Center |
191 Charlotte St, Asheville, NC 28801 |
Situated in Asheville, North Carolina, Oasis Recovery Center provides addiction treatment services for individuals who are struggling with drug or alcohol addictions. They do this by combining traditional therapies with holistic ones, making a blend that is ideal for your recovery journey. Programs for Every Person and Every Need They offer a few different core programs and levels of care,… |
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Carolina Center for Recovery |
7349 Statesville Road, Charlotte, NC 28269 |
Carolina Center for Recovery treats individuals who are suffering from drug and alcohol abuse as well as co-occurring conditions relating to mental health. They are located in Charlotte, North Carolina, and I was struck with the variety of treatment options they offer. Addiction Recovery at Every Level You Need They provide detox coordination, residential inpatient treatment and a partial hospitalization… |
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The Blanchard Institute |
10348 Park Rd, Charlotte, NC 28210 |
The Blanchard Institute in Charlotte, North Carolina is CARF accredited and certified by The Joint Commission, and is an NAADAC Approved Education Provider. They are in-network with many insurance providers, may be able to get some services approved with out-of-network providers, and offer self-pay options. Numerous Treatment Levels for Substance Use Disorder This facility has an expansive listing of programs,… |
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Green Hill Recovery |
6124 St Giles St, Raleigh, NC 27612 |
The Advaita Collective’s Green Hill location in Raleigh, North Carolina is an addiction treatment center for young men specifically. They work with most major insurance providers and are in-network with BCBS, UMR, United Healthcare, Aetna, Medcost, and Cigna. Outpatient Treatment Programs for Young Men The center treats young men and offers three levels of care. Intensive outpatient programming (IOP) addresses… |
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Asheville Detox Center |
25 Choctaw St, Asheville, NC 28801 |
Asheville Detox Center is one of the detox centers in Asheville, North Carolina, with 16 beds and medical staff there around the clock. Doctors, nurses and therapists head the program, and a stay runs 3 to 10 days, so you’d be on site for the whole stretch. Medical Detox in Asheville People arrive here to come off opioids, alcohol or… |
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TruHealing High Point |
919 Phillips Ave Ste 107, High Point, NC 27262 |
TruHealing High Point offered outpatient drug treatment in High Point, North Carolina. They permanently closed their doors shortly after COVID-19. They were an opioid addiction treatment center that was nationally recognized and accredited by The Joint Commission. This clinic was designed to help individuals with heroin, prescription medication or other opioid addictions. You could find this clinic on a leafy… |
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Insight Recovery Center Asheville |
2123 Hendersonville Rd, Concord, NC 28704 |
Insight Recovery Center Asheville provides substance abuse and mental health treatment in Concord, North Carolina. They have a team of compassionate staff members focused on the best methods to help guests overcome addiction challenges. Person-Centered Focus One of the standout features of Insight Recovery Center is that they don’t view guests as broken or sick. They believe everyone is unique… |
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Southeastern Recovery Center - Concord |
1018 Lee-Ann Dr NE, Concord, NC 28025 |
Southeastern Recovery Center is a family-owned rehab facility located in Concord, North Carolina, and helps its community battle mental health and substance abuse disorders. Treatment is provided for every level of your recovery journey and is an ideal location to focus on yourself and help you reclaim your life. Programs and Housing at SERC Southeastern Recovery Center has gender-specific supportive… |
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Hickory Metro Treatment Center |
1152 Lenoir Rhyne Boulevard Southeast, Hickory, NC 28602 |
New Season has an extensive network of 80 addiction treatment centers in 20 states, including this center in Hickory, North Carolina. They are licensed, registered, and approved by SAMHSA, the Drug Enforcement Administration, the State Board of Pharmacy, the Center for Substance Abuse Treatment, the State Methadone Authority, and CARF. They accept several insurances including Medicare and Medicaid. Patients without… |
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Carolina Recovery Solutions |
701 Brevard Road, Asheville, NC 28806 |
Carolina Recovery Solutions is in Asheville, North Carolina. They offer medically supervised detox, inpatient treatment and outpatient treatment for substance use disorder (SUD) and co-occurring mental health disorders. They accept insurance from many types of providers. The treatment center is in the beautiful Appalachian Mountains only six miles from the famous Biltmore House and convenient to the Blue Ridge Parkway.… |
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New Waters Recovery & Detox North Carolina |
3810 Bland Rd, Raleigh, NC 27609 |
New Waters Recovery & Detox North Carolina in Raleigh, North Carolin, is accredited by The Joint Commission and is an NAATP Provider member. They work with all commercial carriers and are in-network with Aetna. Flexible payment plans are available for out of pocket expenses. Free Transportation and Assessment A complementary intake assessment is offered over the phone for those seeking… |
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Fellowship Hall - Greensboro |
5140 Dunstan Rd, Greensboro, NC 27405 |
Fellowship Hall is an addiction treatment center in Greensboro, North Carolina. It's a private nonprofit, the first specialty hospital North Carolina licensed for alcohol and drug treatment. It admits adults 18 and over with programs for men, for women and for young adults. There's a track for professionals as well. What care happens in Greensboro? Fellowship Hall's medical detox in… |
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In North Carolina, the average cost of rehab is $56,759. That figure is the average full cost of care, before insurance, so what you actually pay can be far less. If you have a Marketplace health plan, your out-of-pocket maximum for 2026 is no more than $10,600 for an individual or $21,200 for a family. That is the most you have to pay for covered, in-network services in a plan year. You can ask a program and your plan what you would pay.
Treatment costs in North Carolina at a glance
NC costs: costs here run about 6% below the national level · financial help is offered by 316 of the 703 programs · one in eight adults aged 18 to 64 lack health insurance · 389 of 703 programs take Medicaid · expanded Medicaid covers most adults under 138% of the poverty line · a marketplace plan caps yearly out-of-pocket costs at $10,600
With 500+ treatment programs across North Carolina, you have more than one way to pay for care. Most programs here work with several kinds of payment, from insurance and Medicaid to sliding scale fees. You can ask any program you are considering what it accepts and what help it offers.
Nearly all treatment programs in North Carolina accept private pay, and most work with private insurance for rehab. If you have a plan through an employer or the Marketplace, you can ask a program to check your benefits and tell you what you would pay before you start.
Many programs in North Carolina take Medicaid, and NC Medicaid covers most health services, including behavioral health. If Medicaid is your coverage, you can ask a program whether it accepts your plan, including for services such as medication-assisted treatment.
Many treatment programs in North Carolina also accept Medicare. If Medicare is your coverage, you can ask a program whether it takes Medicare and what your share of the cost would be.
North Carolina is in the TRICARE East Region, and Humana Military is its contractor, so you can ask a program whether it takes your plan. Veterans can turn to VA medical centers here. They include the Charles George Department of Veterans Affairs Medical Center and the Durham VA Medical Center. The Fayetteville VA Medical Center and the W.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical Center also serve the state. You can find more addiction and mental health resources for military members and veterans if you have served.
The Eastern Band of Cherokee Indians is the only federally recognized tribe based in North Carolina. The Nashville Area Office of the Indian Health Service operates Unity Healing Center in Cherokee, a regional residential treatment facility for eligible youth. The Cherokee Indian Hospital Authority runs Cherokee Indian Hospital, whose satellite clinics include the Analenisgi Recovery Center and the Kanvwotiyi Residential Treatment Center. If you are a member of a tribe, you can ask these programs what you qualify for.
Beyond insurance, many North Carolina programs offer financial assistance, and some offer free care, sliding scale fees or financing that spreads payments over time. You can ask any program what help it offers before cost makes the decision for you.
Expert insight
“Many communities have set up traditional Al-Anon meetings, but specific family support groups across the state have also been established that you can engage in as well.”
As a social worker for both adolescents and adults, I have seen firsthand how substance use impacts each person and their loved ones. In the western part of North Carolina, experts are looking at substance use disorders from new approaches to comprehensively understand how addictions impact people on individual levels as well as their families.
According to the WNC Health Network, 46.5% of adults report that their lives have been negatively impacted by substance use—either their own addictions or those of others.
North Carolina leaders have programs set in place for family and friends to feel supported and understand what their loved ones are going through regarding their addictions.
Frequently asked questions
North Carolina has 500+ addiction treatment programs, and you have more than one way in. Each county has a Local Management Entity/Managed Care Organization that arranges mental health, substance use and related services. It serves people with Medicaid Tailored Plans, people without insurance and people whose insurance does not cover everything they need. You can start with a call to the one in your county. Many counties also run Open Access / Walk-In Clinics, where you can get an assessment the same day and be connected to the right level of care.
If you would rather talk first, the NC Peer Warmline is a free, private line, open 24 hours a day, 7 days a week. You will talk with a peer support specialist about mental health or substance use.
The North Carolina Department of Health and Human Services runs substance use services through its Division of Mental Health, Developmental Disabilities, and Substance Use Services, which the state names DMH/DD/SUS. Programs need a state license. The Mental Health Licensure and Certification Section of the Division of Health Service Regulation licenses and regulates substance abuse facilities, so you can ask any program about its license.
The state has worked from an Opioid and Substance Use Action Plan since June 2017, with version 3.0 released in May 2021. It shapes the services you will find. Medicaid expanded on December 1, 2023 to cover adults ages 19 through 64 up to 138% of the federal poverty line, so check whether you now qualify.
Free and low-cost help in North Carolina goes well beyond treatment programs. You can call, text or visit crisis lines, peer support, recovery groups and harm reduction services across the state. Most are free. The state has a standing order for naloxone, so any pharmacist licensed in North Carolina can give it to you if you meet set criteria. The North Carolina Safer Syringe Initiative runs programs that give out sterile syringes, help with safe disposal and offer naloxone training. If you or someone close to you is thinking about suicide, you can find suicide prevention help any time.
If you are looking for care in North Carolina, these figures say you are not alone. Many people across the state live with a substance use disorder, and most of those who need treatment do not get it. The state has 500+ treatment programs, and efforts like the Opioid and Substance Use Action Plan and the NC Peer Warmline speak to that need.
Drug overdose deaths per 100,000 people in North Carolina, 2024
People aged 12 or older with a substance use disorder in the past year, 2023-2024
People aged 12 or older who needed substance use treatment and did not get it, 2024
Adults in North Carolina who binge drank in the past 30 days, 2025
Set against the wider drug and alcohol use statistics, the state’s picture is mixed. Drug overdose deaths here run above the national rate, though well below Tennessee’s. Binge drinking among North Carolina adults runs below the national median and below each of the three nearby states.
Medical reviewer
Libby Pelligrini, MMS, PA-C
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…
Read bioPhysician Assistant & Medical Writer. Read bio
Author
Nikki Seay, LPN, BS
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,…
Read bioAddiction & Mental Health Author. Read bio
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