Compare 15 addiction treatment centers in and around Chapel Hill, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in North Carolina for yourself or someone you love.
183 Old Turnpike Road · Mills River, NC 28759Mills River, NC 28759
Mills River · Detox, Inpatient
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Detox
Inpatient
Private insurance
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
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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…
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…
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
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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
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Detox
Inpatient
Outpatient
Private insurance
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
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Detox
Inpatient
Outpatient
Private insurance
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…
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
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Inpatient
Outpatient
Private insurance
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
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Detox
Outpatient
Medicaid
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
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Detox
Inpatient
Private insurance
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
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Detox
Inpatient
Outpatient
Private insurance
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…
Located in Chapel Hill, North Carolina, Freedom House Recovery Center is an addiction treatment center. Here you’ll find outpatient addiction treatment and inpatient crisis care for children, adolescents, adults, and families. Services like an intensive outpatient program, medication assisted treatment, and DWI evaluation. The inpatient crisis stabilization unit helps people who have acute or crisis substance abuse or psychiatric symptoms.
A Lifes Journey Counseling Center is a rehab located in Chapel Hill, North Carolina. A Lifes Journey Counseling Center specializes in the treatment of addiction.
Freedom House Recovery Center is a rehab located in Chapel Hill, North Carolina. Freedom House Recovery Center specializes in the treatment of addiction.
Freedom House Recovery Center Chapel Hill is a rehab located in Chapel Hill, North Carolina. Freedom House Recovery Center Chapel Hill specializes in the treatment of addiction.
1101 Weaver Dairy Road Suite 102, Chapel Hill, NC 27514
Outpatient
Medicaid
Private insurance
UNC Alcohol and Substance Abuse Program is a rehab located in Chapel Hill, North Carolina. UNC Alcohol and Substance Abuse Program specializes in the treatment of addiction.
77 Vilcom Center Drive Dawson Hall, Suite 170, Chapel Hill, NC 27514
Outpatient
UNC Mental Health Specialists Chapel Hill is a rehab located in Chapel Hill, North Carolina. UNC Mental Health Specialists Chapel Hill specializes in the treatment of addiction.
Freedom House Recovery Center is a rehab located in Chapel Hill, North Carolina. Freedom House Recovery Center specializes in the treatment of addiction.
1800 Martin Luther King Jr Parkway Suite 102, Durham, NC 27707
Inpatient
Outpatient
Women
Medicaid
Private insurance
CASCADE Durham is a dual diagnosis mental health treatment center located in Durham, North Carolina. Serving pregnant women struggling with addiction and mental health disorders. Programs include drug rehab and alcohol addiction treatment, medication management, skill development, parenting classes, and therapy. SAMHSA funded. Medicare, Medicaid, private insurance plans, self pay, and financial aid options are available.
The facilities listed on this page are verified by public licensing and accreditation records. Several details are important when you are considering addiction treatment.
Our sponsored placements are labeled and we don't offer clinical endorsements. We will leave out information rather than guess when information cannot be verified through a facility or a public source.
Current state licenses
Third party accreditation
Levels of care provided
Evidence-based services offered
Accepted insurance
Location
Payment options, including Medicaid and financial assistance
Specialty programs
Rehab in Chapel Hill: What to Know
Chapel Hill sits in Orange County, anchoring one corner of the Research Triangle. It is home to the University of North Carolina at Chapel Hill.
Our directory lists 9 treatment providers that offer a balance of detox, inpatient, and outpatient options. Check out our North Carolina rehab directory to find options beyond the town limits that include nearby Durham and the wider Research Triangle.
UNC Health and UNC Hospitals are the university’s academic medical center and one of the largest health systems in the state. They provide care alongside outpatient and residential providers across Orange County.
UNC is also home to the UNC Street Drug Analysis Lab. The lab tests samples from across North Carolina and tracks emerging adulterants in the drug supply. It helps to understand your addiction treatment options before you decide on a treatment center.
Orange County has the lowest overdose death rate of any county in North Carolina. However, fentanyl in the drug supply keeps naloxone access, drug checking and treatment relevant. This is especially important for the county’s large student population.
988 Suicide and Crisis Lifeline: call or text 988 any time for free, confidential help with a substance use or mental health crisis
Hope4NC: call 1-855-587-3463 for 24/7 free emotional support, counseling referrals, and community resources across North Carolina
Free naloxone: available at pharmacies under the statewide standing order and through Orange County and North Carolina Harm Reduction Coalition distribution
Coverage: 6 of the 9 Chapel Hill providers accept North Carolina Medicaid, which expanded to more adults in December 2023
Cost of Rehab in Chapel Hill
Treatment costs in Chapel Hill depend on the level of care you need, how long your program lasts and whether you use insurance. Statewide cost averages are a useful starting point for what different types of care can cost before insurance. Verify your benefits to estimate and lower what you pay out of pocket. Our guide to using insurance for rehab walks you through how to do that.
$140,932
Medical Detox
$50,086
Inpatient Treatment
$8,122
Outpatient Treatment
$7,194
Methadone Treatment
Chapel Hill has a higher cost of living than most of the state. This means local prices can be at or above these North Carolina averages. We recognize that addiction treatment can feel expensive.
However it's important to weigh that cost against the cost of job loss, incarceration, the cost of drugs and damaging relationships with your friends and family.
Inpatient and outpatient programs are on opposite sides of the cost range. Several factors influence your final expenses:
Level of care: detox and residential cost more than outpatient
Length of stay: a 30, 60, or 90-day program changes the total
Insurance and network status: in-network care lowers out-of-pocket costs
Amenities and setting: standard versus upscale facilities
Financial help: sliding-scale fees and assistance reduce what you owe
How to Pay for Rehab in Chapel Hill
Cost should not be a reason that you go without treatment since most of the 9 Chapel Hill facilities offer a broad mix of payment options. The expanded Medicaid program allows more low income adults to qualify for help paying for treatment. The cards below show how many local facilities report accepting each payment type.
8 accept self-payment or cash
7 accept private health insurance
6 accept North Carolina Medicaid
4 accept Medicare
5 offer financial assistance
3 offer financing
2 offer sliding-scale fees
2 accept TRICARE
Medicaid
North Carolina expanded Medicaid to more adults ages 19 through 64 in December 2023. This increased your access to substance use treatment across the state. Six Chapel Hill facilities accept North Carolina Medicaid. Coverage includes medications for opioid use disorder such as buprenorphine and methadone. Our guide to medication-assisted treatment explains how it works when medications are part of your treatment plan.
Medicare
Medicare covers addiction treatment that can include medication assisted care, inpatient and outpatient options. You are eligible for Medicare when you are aged 65 and older. Eligibility is extended to some younger people with qualifying disabilities. Four Chapel Hill facilities in our directory accept Medicare to cover treatment costs.
Military Benefits
Veterans and active duty service members in the Chapel Hill area have coverage options through TRICARE. This is accepted at two local facilities. Veterans enrolled in VA health care can also access substance use treatment through the nearby Durham VA Health Care System. Our rehab resources for veterans and military outline what these benefits cover.
Insurance and Private Pay
Seven Chapel Hill facilities accept private health insurance and eight accept cash payment. Federal parity rules mandate health care plans cover addiction treatment at the same level as other medical and surgical treatments. Your cost depends on your plan, deductible and whether a program is in network. Verifying benefits before admission is the single best way to avoid an unexpected bill.
Other Low Cost Options
Five Chapel Hill facilities offer financial assistance, three offer financing, and two use sliding-scale fees. These options help when you don't have robust insurance coverage.
Orange County’s publicly funded behavioral health system is coordinated through the Alliance Health LME/MCO. This extends care when you are uninsured and meet eligibility criteria. When you need help covering a specific program, consider rehab scholarships as another route to paying for treatment. Many major insurance carriers are accepted across Chapel Hill facilities, including:
Blue Cross Blue Shield of North Carolina
Aetna
Cigna
UnitedHealthcare
Humana
Ambetter
Levels of Care Available in Chapel Hill
Chapel Hill offers core level treatment balanced across detox, inpatient and outpatient options with strong dual diagnosis resources. Our directory lists 4 detox facilities, 4 inpatient rehab programs, and 8 outpatient clinics. The information below show what is available locally.
4 medical detox facilities
4 inpatient rehab programs
8 standard outpatient clinics
8 dual diagnosis programs
2 sober living homes
Your care can begin with medical detox when you are physically dependent on substances. The program provides medically managed and supervised withdrawal. After detox is completed inpatient or residential treatment may be your next step. Residential care provides round the clock support.
The most widely available option is outpatient care that lets you receive treatment while keeping up with school, work, or family. Most local programs also provide specialized treatment for co-occurring conditions such as co-occurring anxiety disorders. This is an important feature in a university town.
Aftercare can be the final step in your program to help protect your long term recovery. Aftercare can incorporate job coaching, 12 step programs, peer support and counseling.
Specialty Programs in Chapel Hill
Many Chapel Hill facilities also offer tailored treatment to specific populations and substances. Below are the number of specialty options most commonly reported by local providers.
Chapel Hill and Orange County offer additional free and low cost help through crisis lines, county public health and statewide harm reduction programs. Help is immediately available when you or someone you love is in crisis. Reaching out to a crisis support line is a safe first step.
988 Suicide and Crisis Lifeline:
Call or text 988 any time for free, confidential crisis help.
Hope4NC Helpline:
Call 1-855-587-3463 to reach North Carolina’s 24/7 emotional support and referral line.
SAMHSA National Helpline:
Call 1-800-662-HELP (4357) to reach the free and confidential 24/7 treatment referral.
Orange County Health Department:
Coordinates local overdose prevention, naloxone access and connections to publicly funded treatment. Dial NC 211 for referrals.
North Carolina Harm Reduction Coalition and naloxonesaves.org:
Free naloxone by mail statewide.
Drug and Alcohol Use Statistics in Chapel Hill
Orange County has the lowest overdose death rate in North Carolina, but fentanyl still impacts the local picture. County and university resources focus on keeping that rate low.
11.1
Overdose death rate per 100,000 residents in Orange County in 2024, the lowest of any North Carolina county, per USAFacts analysis of CDC data, 2024.
2,934
North Carolina overdose deaths in 2024, down from 4,442 in 2023, per NCDHHS, 2026.
9
Drug and alcohol treatment providers listed in Chapel Hill across all levels of care, per the Addictions.com directory, 2025.
Statewide decline
34%
Drop in North Carolina overdose deaths from 2023 to 2024, the first decline since 2019, per NCDHHS, 2026.
Involve fentanyl
71%
Of North Carolina overdose deaths in 2024 involved fentanyl or other synthetic opioids, per USAFacts analysis of CDC data, 2026.
A low rate is not zero risk. Fentanyl and emerging adulterants tracked by UNC’s drug analysis lab keep naloxone and treatment access important to Chapel Hill families and students. Check our overview of national substance use statistics for a broader view of how these figures compare nationally.
Ariella Belote, BSN, RN, has experience working as a nurse in outpatient alcohol and drug addiction treatment, where she worked with clients experiencing various dependencies. She also works to connect clients with local resources designed to support recovery on a…
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.