Drug & alcohol rehab centers in Durham, NC

Compare 40 addiction treatment centers in and around Durham, 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.

37 outpatient programs
22 inpatient rehabs
16 detox clinics

Medically reviewed by Jillian Foglesong Stabile, MD, Family Physician Written by Rita Milios, LCSW, SAP

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40 addiction treatment centers in Durham, NC

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Thumbnail	Name	Address	Treatment	Insurance	About
	BAART Programs Durham	800 North Mangum Street Suite 400, Durham, NC 27701	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, Medicare and Veterans Affair Healthcare. They have self-pay options too and financial assistance for low income individuals. A Healing Methadone…
	Triangle Residential Options for Substance Abusers	1820 James Street, Durham, NC 27707	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 for residents to heal from addiction and live better lives. Cost-Free Treatment Program TROSA is free of charge to residents.…
	Eleanor Health	2402 South Miami Blvd, Suite 101, Durham, NC 27703	Detox Inpatient Outpatient	Private insurance	Eleanor Health in Durham, North Carolina, is just one of the organization’s many facilities. This spot in particular is an outpatient drug rehab that also provides care for adults who are struggling with concurrent mental health issues. Online services are also available, and most major insurance providers are accepted, including select Medicare and Medicaid plans. Your recovery process will be…
Overwhelmed by the list? That’s normal. Speak with someone about your situation and discover options that fit your needs, usually in one call. No obligation. Get Help Now · 919-642-1116
	Carolina Outreach	2670 Durham-Chapel Hill Boulevard, Durham, NC 27707	Outpatient	Medicaid Private insurance	Carolina Outreach is a behavioral health and substance use treatment provider in Durham, North Carolina, offering outpatient addiction services, mental health care, and on site Behavioral Health Urgent Care. The Durham office serves children and adolescents, adults and families across a full continuum of care. Carolina Outreach delivers integrative, evidence based services for individuals with substance use disorders and co-occurring…
	Carolina Community Support Services	2634 Durham Chapel Hill Boulevard Suite 216, Durham, NC 27707	Outpatient	Medicaid Private insurance	Carolina Community Support Services, Inc. in Durham, North Carolina is a behavioral health agency that offers integrated mental health and substance use care for adults, adolescents and families. The team provides intensive outpatient treatment, psychiatric assessment, medication management, peer support and community-based services for co-occurring substance use and mental health needs. Rooted in personalized planning and a strengths-based philosophy, the…
	Carolina Outreach Durham	2670 Durham-Chapel Hill Boulevard, Durham, NC 27707	Outpatient	Medicaid Private insurance	Carolina Outreach Durham is an outpatient behavioral health and addiction treatment provider in Durham, North Carolina serving children, adolescents and adults at their clinic on Durham-Chapel Hill Boulevard. The Durham location offers comprehensive assessments, outpatient and intensive outpatient programs for substance use disorders and psychiatric services including medication management for clients with co-occurring mental health needs. The center also hosts…
	Durham VA Medical Center	508 Fulton Street, Durham, NC 27705	Inpatient Outpatient	Medicaid Private insurance	Durham VA Medical Center is a Veteran focused substance use treatment program in Durham, North Carolina offering outpatient and inpatient addiction care as part of the VA Durham Health Care System. Services include general and intensive outpatient substance use disorder clinics, medically managed inpatient services and telehealth options. The program emphasizes evidence based, recovery oriented Whole Health Care tailored to…
	Freedom House Recovery Center Durham Outpatient Services	400 Crutchfield Street Suite D, Durham, NC 27704	Inpatient Outpatient	Medicaid Private insurance	Freedom House Recovery Center's Durham Outpatient Clinic is a CARF accredited behavioral health provider offering substance use and mental health treatment in Durham County, North Carolina. The clinic provides SAIOP and SACOT, therapy and medication assisted treatment, psychiatric evaluation and peer support for adults and adolescents navigating addiction and co-occurring conditions. Since 1974, Freedom House has grown from a small…
	CAARE The Healing Center	214 Broadway Street, Durham, NC 27701	Detox Outpatient	Medicaid	CAARE The Healing Center is a community based addiction treatment provider in Durham, North Carolina offering outpatient substance use services alongside wraparound support for individuals and families. The nonprofit blends comprehensive outpatient treatment and DWI assessments, aftercare and transitional housing support for adults and young adults. Its mission centers on whole person healing addressing both substance use and the social,…
	New Season Durham Treatment Center	1913 Lamar Street, Durham, NC 27705	Detox Outpatient	Medicaid Private insurance	New Season Treatment Center provides substance abuse recovery in Durham, North Carolina with physician-led care for adults and young adults living with opioid use disorder. The center offers medication intervention and specialized treatment methods for clients across Durham and surrounding communities. As part of the national New Season network, the program emphasizes individualized recovery while helping clients maintain work, school…
	El Futuro	2020 Chapel Hill Rd #23, Durham, NC 27707	Detox Inpatient Outpatient	Private insurance	El Futuro is a bilingual, culturally responsive behavioral health organization in Durham, North Carolina providing outpatient mental health and substance use services for Spanish speaking individuals and families. The clinic offers therapy, psychiatry and case management, support groups and a dedicated substance use program for Latino youth and adults. Rooted in culturally adaptive and evidence based care, El Futuro is…
	Richard Kuehn and Associates	3215 Guess Road, Durham, NC 27705	Outpatient		Richard Kuehn and Associates is an outpatient addiction treatment provider in Durham, North Carolina offering substance use services in a private practice style setting. The program focuses on flexible outpatient care for adults and young adults, including counseling, relapse prevention, and continuing care support. With its smaller scale and accessible location on Guess Road, it may appeal to those seeking…
	Reliable Health Services Durham	2634 Durham-Chapel Hill Blvd #204, Durham, NC 27707	Detox Inpatient Outpatient	Private insurance	Reliable Health Services Durham is an integrated wellness clinic offering office based opioid treatment, mental health counseling and DWI assessment services in Durham, North Carolina. The clinic combines medication assisted treatment using buprenorphine with individual and group therapy modalities including ACT, cognitive behavioral therapy and dialectical behavior therapy for substance use and co-occurring mental health disorders. Using a whole person…
	Rapha Healthcare Services	4411 Ben Franklin Blvd, Durham, NC 27704	Detox Inpatient Outpatient	Private insurance	RAPHA Healthcare Services is an outpatient addiction treatment and behavioral health provider in Durham, North Carolina offering integrated care for individuals managing substance use disorders and co-occurring mental health conditions. The program combines outpatient detox support and therapy, psychiatric evaluations and recovery education to meet each client where they are. RAPHA emphasizes a compassionate, patient centered approach built around individualized care…
	Wellness First Psychiatric Associates	1415 Watts St, Durham, NC 27701	Detox Inpatient Outpatient	Private insurance	Wellness First Psychiatric Associates is an outpatient substance use and mental health treatment provider in Durham, North Carolina offering medication assisted treatment and counseling with ketamine assisted psychotherapy. The practice provides psychiatric care and therapy for adults facing opioid dependence and co-occurring mental health concerns. The team emphasizes a whole person and relationship centered approach with flexible appointment lengths and…
	Duke Family Care Program on Erwin	2100 Erwin Rd, Durham, NC 27705	Detox Inpatient Outpatient	Private insurance	Duke Family Care Program on Erwin is a rehab located in Durham, North Carolina. Duke Family Care Program on Erwin specializes in the treatment of addiction.
	RI International - Durham Recovery Response Center	309 Crutchfield St, Durham, NC 27704	Detox Inpatient Outpatient	Private insurance	RI International's Durham Recovery Response Center is a 24/7 crisis-care and substance use treatment provider in Durham, North Carolina. This walk-in facility offers immediate crisis stabilization, behavioral health urgent care, non-hospital medical detox and peer support for people facing mental health or substance use emergencies. Its peer-powered model integrates lived-experience support into every step of stabilization and recovery planning. Crisis…
	Freedom House Recovery Center Durham Mens Halfway House	529 Holloway Street, Durham, NC 27701	Inpatient Outpatient Women		Freedom House Recovery Center Durham Mens Halfway House is a rehab located in Durham, North Carolina. Freedom House Recovery Center Durham Mens Halfway House specializes in the treatment of addiction.
	Psychiatric and Psychological Associates of Durham	4004 Ben Franklin Boulevard, Durham, NC 27704	Detox Outpatient	Medicaid Private insurance	Psychiatric and Psychological Associates of Durham is a rehab located in Durham, North Carolina. Psychiatric and Psychological Associates of Durham specializes in the treatment of addiction.
	B and D Behavioral Health Services	249 North Carolina 54, STE 320, Durham, NC 27713	Outpatient	Medicaid Private insurance	B and D Behavioral Health Services is a rehab located in Durham, North Carolina. B and D Behavioral Health Services specializes in the treatment of addiction.
	Carolina House Eating Disorder Treatment Center	176 Lassiter Homestead Road, Durham, NC 27713	Inpatient Outpatient Women	Private insurance	Carolina House Eating Disorder Treatment Center is a rehab located in Durham, North Carolina. Carolina House Eating Disorder Treatment Center specializes in the treatment of addiction.
	Carolina House Estate	7200 North Carolina 751, Durham, NC 27713	Inpatient Outpatient	Private insurance	Carolina House Estate is a rehab located in Durham, North Carolina. Carolina House Estate specializes in the treatment of addiction.
	Changes by Choice	909 Broad Street, Durham, NC 27705	Detox Outpatient	Private insurance	Changes by Choice is a rehab located in Durham, North Carolina. Changes by Choice specializes in the treatment of addiction.
	Duke Child and Family Study Center	2608 Erwin Road Suite 300, Durham, NC 27705	Outpatient	Private insurance	Duke Child and Family Study Center is a rehab located in Durham, North Carolina. Duke Child and Family Study Center specializes in the treatment of addiction.
	Duke Child Development and Behavioral Health Clinic	411 Trent Drive, Durham, NC 27705	Outpatient	Medicaid Private insurance	Duke Child Development and Behavioral Health Clinic is a rehab located in Durham, North Carolina. Duke Child Development and Behavioral Health Clinic specializes in the treatment of addiction.

Rehab centers in cities near Durham

Treatment centers in nearby cities, closest to Durham first. Filter by insurance, level of care, and who the program is designed for.

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Rita Milios, LCSW, SAP

Psychotherapist, Expert Author

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Expert insight

“I will be excited to see the results of these programs. (I anticipate good results!)”

I recently read that researchers from the University of North Carolina School of Medicine are now collaborating with the North Carolina Department of Public Safety and the Durham County Sheriff’s Office in order to evaluate the effectiveness of two opioid addiction treatment programs for inmates of the local criminal justice system.

In late 2019, the Durham County Sheriff’s Office kicked off two projects knowing that people who were recently incarcerated are at high risk of overdose and have little-to-no access to addiction treatment upon release. Working with UNC School of Medicine and Department of Public Safety, the group was able to expand access to treatment and connect recently released inmates with local treatment providers.

Frequently asked questions

What to know about rehab in Durham

How We Rank Listings

Every facility in this directory has been reviewed through Addictions.com's verification process, which evaluates programs against a consistent set of criteria: state licensure, accreditation status, the levels of care available, accepted payment types, and specialty programming. Facilities accredited by the Joint Commission or the Commission on Accreditation of Rehabilitation Facilities (CARF) are noted in their profiles.

CARF accreditation means an independent body has verified that the program meets established quality standards for person-centered care. Programs that accept multiple payment sources, including Medicaid, Medicare, and private insurance, are highlighted to help you find options that match your financial situation. No facility pays for inclusion or placement in these results.

Rehab in Durham: What to Know

Durham is the county seat of Durham County and part of the Research Triangle metropolitan area alongside Raleigh and Chapel Hill. With Duke University Health System based here, the region has access to academic-level behavioral health care alongside a network of community providers.

Our directory lists 40 licensed facilities in and near Durham offering substance use disorder treatment across multiple levels of care. For a broader look at options across the state, the North Carolina rehab directory includes programs organized by county and city.

Durham County has been among the harder-hit areas in North Carolina when it comes to the opioid crisis. According to the NC Department of Health and Human Services, the county's opioid overdose death rate more than doubled between the 2016-2020 period and 2021, and the county has carried one of the highest rates of illicit drug overdose deaths in the state.

Addressing that reality, the Durham County Department of Public Health launched the Community Linkages to Care (CLC) Peer Support Program, which connects residents to addiction treatment options, harm reduction services, housing, and employment support at no cost. Durham County is also set to receive approximately $11.6 million in opioid settlement funds over 18 years to expand local prevention and treatment programs.

Duke University Health System offers cognitive behavioral therapy and individualized treatment plans for adults with co-occurring substance use and mental health conditions. Carolina Outreach provides behavioral health urgent care at its Durham location, giving people access to same-day crisis support.

For those seeking care for opioid use disorder, multiple licensed opioid treatment programs in Durham offer medication-assisted treatment, including methadone and buprenorphine-based programs operated through BAART Programs, Morse Clinics, and New Season Treatment Center, among others.

Of the 40 facilities in this directory, 26 provide dual diagnosis programming for people managing both substance use and a co-occurring mental health condition, and 22 offer residential inpatient care. Whether you are looking for medical detox as a first step or a long-term residential program, Durham's treatment network spans the full continuum.

Cost of Rehab in Durham

Treatment costs in Durham follow North Carolina state averages, with the final price varying based on level of care, program length, facility type, and insurance coverage. North Carolina's average costs fall slightly below the national midpoint for residential programs, which can make the state a relatively accessible option for those paying privately. The figures below reflect statewide averages; what you pay at a specific Durham facility will depend on the program you choose and your coverage situation.

Several variables determine what you will actually pay for treatment at a specific Durham facility. The biggest factor is level of care: residential inpatient programs that provide 24-hour supervision, housing, and meals cost significantly more than standard outpatient sessions. Facilities that receive state or federal grant funding can often offer sliding-scale fees, and most people with private insurance pay a fraction of the listed price after benefits are applied.

Level of care residential programs cost considerably more than outpatient or IOP

Program length 30-, 60-, and 90-day stays carry different price points

Insurance coverage plan type, deductibles, and in-network status affect your out-of-pocket cost

Facility amenities standard vs. private or executive accommodations

Medication needs medically monitored detox and MAT medications add to overall cost

Location and setting urban Durham programs vs. rural or suburban programs nearby

How to Pay for Rehab in Durham

Of the 40 facilities in Durham's directory, 36 accept self-payment or cash and 28 accept private health insurance, giving most people at least one accessible path to care. Publicly funded options are also available. Twenty facilities accept NC Medicaid and 12 accept Medicare.

For help understanding what your policy covers before committing to a program, federal law under the Mental Health Parity and Addiction Equity Act requires insurers to cover substance use disorder treatment at parity with other medical conditions. Guidance on verifying your rehab benefits is available through your insurer's behavioral health line.

Medicare

Twelve facilities in Durham accept Medicare for substance use disorder treatment. Medicare Part A covers inpatient detox and residential care when medically necessary. Part B covers outpatient programs, individual and group counseling, and certain medications used in treatment.

Coverage is available through both Original Medicare and Medicare Advantage plans, though Advantage plans may have different in-network requirements. Always confirm whether a specific Durham facility accepts your Medicare plan before enrolling.

NC Medicaid

North Carolina's Medicaid program, administered by NCDHHS, covers a broad range of substance use disorder services, including medical detox, residential care, standard outpatient counseling, intensive outpatient programs (SAIOP), and medication-assisted treatment.

A 2023 change to state law expanded access by adding intensive outpatient and social setting detox to the coverage available to members enrolled in NC Medicaid Standard Plans. Twenty facilities in Durham accept NC Medicaid. Eligibility is based on income and household size; the NCDHHS Medicaid enrollment line can help you determine whether you qualify.

Military Benefits and TRICARE

Nine Durham facilities accept TRICARE, the health coverage program for active-duty military personnel, National Guard and Reserve members, retirees, and their dependents. TRICARE generally covers medically necessary substance use disorder treatment across detox, inpatient, and outpatient levels of care.

Veterans who are not covered by TRICARE may qualify for treatment through the VA health system, which has a major medical center and an outpatient clinic in Durham. For more on eligibility and VA-covered services, see rehab resources for veterans and military members.

Insurance and Private Pay

Twenty-eight facilities in Durham accept private health insurance. Major carriers with active provider networks in North Carolina include Blue Cross Blue Shield of NC, Aetna, Cigna, UnitedHealthcare, Humana, Ambetter, and Molina Healthcare. Policies purchased through the Affordable Care Act marketplace must include substance use disorder treatment as an essential health benefit. Call your insurer's behavioral health line before enrolling to confirm which Durham facilities are in-network and what your deductible and out-of-pocket maximum apply to addiction treatment.

Aetna
Ambetter
Blue Cross Blue Shield of NC
Cigna
Humana
Molina Healthcare
UnitedHealthcare

Sliding Scale and Financial Assistance

Seven facilities in Durham offer sliding-scale fees tied to income, and 16 provide some form of financial assistance. These programs are often designed for people who earn too much to qualify for Medicaid but cannot cover full private-pay rates on their own. Sliding-scale arrangements typically require proof of income during intake, so having recent pay stubs or tax documents available can speed up the process.

Free Treatment Programs

Two facilities in Durham offer free treatment services. The most prominent is TROSA (Triangle Residential Options for Substance Abusers), a no-cost, multi-year residential program that provides housing, meals, clothing, vocational training, and peer-driven recovery support to adults. If cost is the primary barrier to getting care, rehab scholarships and grants are also available through national and state-level programs that fund treatment for people who cannot afford to pay.

Financing

Eight facilities in Durham offer payment financing, allowing clients to spread treatment costs over time rather than paying in full at intake. Financing is most often used to cover the balance remaining after insurance or other partial payment sources are applied. Compare terms and any associated interest rates across facilities before committing, as arrangements vary considerably.

Levels of Care Available in Durham

Durham's 40 listed facilities include 16 medical detox programs, 22 residential inpatient programs, 37 standard outpatient programs, and 2 partial hospitalization programs. The appropriate starting point depends on the substance involved, how long someone has been using, the severity of any withdrawal risk, and whether a co-occurring mental health condition needs to be addressed alongside substance use treatment.

Medical detox is the first step for people with physical dependence on alcohol, opioids, benzodiazepines, or other substances where withdrawal carries medical risk. Sixteen facilities in Durham offer supervised detox, where medical staff monitor vital signs and manage withdrawal symptoms around the clock. Medical detox addresses physical stabilization but is generally followed by a residential or outpatient program to address the psychological dimensions of addiction.

Residential inpatient programs mean living at the treatment facility full time, typically for 28, 60, or 90 days, with structured therapy, group sessions, and clinical support built into the daily schedule. Twenty-two programs in Durham offer this level of care. Residential treatment is generally recommended for people with more severe or long-standing substance use, limited support at home, or those who have not achieved lasting results with outpatient approaches.

Partial hospitalization programs (PHP) provide intensive daily treatment, usually five to six hours per day on weekdays, while allowing participants to return home in the evenings. Two Durham programs offer this level of care. Partial hospitalization can function as a step-down after inpatient discharge or as an entry point for people who need structured daytime support but have a stable home environment.

Standard outpatient care is the most widely available option in Durham, with 37 facilities offering programs that range from weekly individual counseling to several sessions per week. Outpatient rehab works best for people with mild to moderate substance use disorders who have stable housing and reliable social support. It can also serve as the next step after completing a residential program.

Dual diagnosis programs treat substance use disorder alongside co-occurring mental health conditions such as co-occurring depression, anxiety, trauma, and other diagnoses. Twenty-six facilities in Durham provide this level of integrated care. Treating both conditions at the same time generally produces better outcomes than addressing them separately or in sequence.

Sober living homes provide structured, substance-free housing for people transitioning out of residential treatment. Four sober living options are listed in Durham. These homes offer peer accountability, house rules around sobriety, and sometimes connection to ongoing outpatient programming while residents rebuild employment and daily routines. They are part of the broader rehab aftercare continuum that supports long-term recovery.

Specialty Programs in Durham

Many people seeking treatment have needs that go beyond a general program. Durham's facilities include specialty tracks designed for specific populations, substances, and life circumstances. The counts below reflect how many of the 40 listed facilities offer each program type.

Free and Low-Cost Rehab Resources in Durham

Several public, nonprofit, and government-funded programs in Durham offer addiction support at low or no cost. If you are in immediate crisis, call or text 988 at any time. Additional crisis and mental health support resources are available through the 988 Suicide and Crisis Lifeline. For community social services including substance use treatment, housing, and food assistance, 211 North Carolina connects callers to local programs with a single call or text to 211.

Crisis Lines

988 Suicide and Crisis Lifeline — Call or text 988 at any time. Available 24/7 for mental health and substance use crises. Chat available at 988lifeline.org.
SAMHSA National Helpline — 1-800-662-4357. Free, confidential, 24/7 treatment referral and information service available in English and Spanish. samhsa.gov/find-help/national-helpline
211 North Carolina — Call or text 211. Connects callers to local social services including substance use treatment, food assistance, and emergency support. nc211.org

County and Public Health Services

Durham County Community Linkages to Care (CLC) Peer Support Program — 919-695-3246 or 919-560-7305. Weekdays 7:00 AM to 5:00 PM and Saturdays. Peer specialists with lived recovery experience connect Durham residents to treatment, harm reduction services, housing, food, and employment resources at no cost. Free naloxone kits are available. dconc.gov/CLC
Durham County Department of Public Health Pharmacy — 414 E Main St, Durham, NC 27701. Provides free sterile syringes, free naloxone kits, HIV and Hepatitis C testing, and referrals to substance use and mental health services. dcopublichealth.org
Durham County Second Chance Program — County-administered outpatient substance use treatment for adults 18 and older, accessible through court referrals, TASC, or other service providers. Offers individual and group counseling using the Matrix evidence-based curriculum across multiple levels of outpatient care. dconc.gov

Nonprofits and Community Programs

TROSA (Triangle Residential Options for Substance Abusers) — 1820 James Street, Durham, NC 27703. A no-cost, multi-year residential program providing housing, meals, clothing, vocational training, peer support, and continuing care for adults with substance use disorders. No insurance or payment required. Participation requires a minimum two-year commitment. trosa.org

Harm Reduction

Durham Mobile Exchange — 919-370-0671 (call or text to arrange pickup or delivery). Provides free sterile syringes and harm reduction supplies. Available Mondays and Wednesdays, 1:00 PM to 6:00 PM. https://dconc.gov/

VA and Military Services

Durham VA Medical Center — Fulton Street, Durham, NC 27705. A regional VA medical center serving veterans across central North Carolina with outpatient substance use treatment, psychiatric care, medication-assisted treatment, and same-day mental health assessment. Serves veterans including those with PTSD, military sexual trauma, and traumatic brain injury. va.gov/durham-health-care/
Hillandale Road VA Clinic — Durham, NC. Outpatient clinic offering mental health and substance use treatment for veterans, with same-day walk-in mental health services and telehealth options. va.gov/durham-health-care/locations/

Drug and Alcohol Use Statistics in Durham

Durham County has recorded some of the highest rates of drug overdose deaths in North Carolina, driven largely by the spread of illicitly manufactured fentanyl. The county's overdose death rate rose sharply in 2021 following a statewide surge that continued through 2022 and 2023. Recent state data offer a more hopeful picture: North Carolina recorded its first substantial year-over-year decline in overdose deaths since 2019, attributed in part to expanded naloxone distribution and broader public awareness.

Medical reviewer

Jillian Foglesong Stabile, MD

Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…

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Family Physician. Read bio

Author

Rita Milios, LCSW, SAP

A recently retired psychotherapist and freelance writer/author, Rita Milios has published forty-four books and hundreds of articles on topics of recovery, mental health, and spiritual growth. She treated mental health and addiction recovery clients in her private practice and was…

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Psychotherapist, Expert Author. Read bio

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Drug & alcohol rehab centers in Durham, NC

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40 addiction treatment centers in Durham, NC

Rehab centers in cities near Durham

What to know about rehab in Durham

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