Compare 34 addiction treatment centers in and around Fayetteville, 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…
418 Person Street, STE 103, Fayetteville, NC 28301
Detox
Outpatient
Medicaid
Private insurance
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…
Carolina Outreach Fayetteville is an outpatient addiction treatment and behavioral health center in Fayetteville, North Carolina, offering substance use disorder care, psychiatric services and mental health support for children, adolescents, adults and families. Located on Person Street, the program provides intensive outpatient treatment (SAIOP), basic outpatient substance use treatment, continuing care and aftercare. The team takes a comprehensive, community-based approach…
Fayetteville Comprehensive Treatment Center is an outpatient opioid addiction treatment center in Fayetteville, North Carolina, offering medication assisted treatment (MAT) for adults struggling with heroin, fentanyl and prescription painkiller dependence. Located on Melrose Road, the program combines FDA-approved medications with individual, group and family counseling. As part of the Comprehensive Treatment Centers network, the center emphasizes individualized care that supports…
3274 Rosehill Road Suite 2, Fayetteville, NC 28301
Outpatient
Medicaid
Community Based Developmental Services (CBDS) is a CARF-accredited outpatient provider in Fayetteville, North Carolina, offering behavioral health care for adults with substance use disorders, mental illness and developmental disabilities. The organization delivers individual and group therapy, co-occurring disorders treatment and referrals for higher levels of care when needed. Rooted in a person-centered philosophy since 1998, CBDS supports individuals, families and…
Cumberland County Communicare is a behavioral health nonprofit in Fayetteville, North Carolina. The program supports seniors, veterans and justice involved individuals with treatment for substance use disorders. Communicare's mission centers on accessible care that pairs clinical treatment with practical recovery supports. CBT, DBT and Outpatient Addiction Treatment Communicare's core focus is outpatient substance use treatment, including standard outpatient and intensive…
The Murray Fork Clinic is located in Fayetteville, North Carolina, and provides comprehensive health and wellness counseling care to men and women who are experiencing a mental health struggle or are seeking treatment for their substance use disorder. This clinic provides care in an outpatient setting and will provide you with access to detox, counseling services, and other support. With…
Precious Haven Inc. is a Fayetteville, North Carolina behavioral health provider specializing in outpatient treatment for children and adolescents facing emotional, behavioral and substance use challenges. The program serves youth dealing with co-occurring disorders, trauma histories, anger and substance use, with a primary focus on ages 12 to 17. Precious Haven is built around an intimate, home-like setting where mutual…
Renew Counseling Center is an outpatient behavioral health and addiction treatment provider in Fayetteville, North Carolina, serving both adults and adolescents. The center offers substance use care, co-occurring mental health treatment, medication assisted treatment and a full range of therapy formats including individual, group, family and couples counseling. Renew is built around accessible, community care that supports clients and families…
Life Net Services is a drug and alcohol rehab and mental health provider in Fayetteville, North Carolina. The program provides intensive outpatient treatment, MAT and outpatient mental health care. Life Net Services takes an integrated approach that addresses both addiction and mental health needs in one community setting. MAT for Opioid Use Disorder Care typically begins with an assessment to…
2911 Breezewood Ave Suite 101, Fayetteville, NC 28303
Detox
Inpatient
Outpatient
Private insurance
Solas Health is an outpatient addiction treatment center in Fayetteville, North Carolina. The clinic offers outpatient services, telehealth access across North Carolina and integrated care for opioid use disorder. Solas Health follows a "whole patient" model that combines physician services, therapy and recovery planning. MAT with Subutex, Sublocade or Vivitrol Care begins with a substance use assessment, screenings and drug…
The Carter Clinic is located in Fayetteville, North Carolina. At the Carter Clinic, you’ll be supported through outpatient care services for adults who are experiencing a behavioral health or substance use disorder. There are also specialized treatment programs for children and women who need support for their own struggle. You'll work with a team of professional psychiatrists, therapists, nurse practitioners…
Fayetteville VA Medical Center is a substance abuse treatment program serving Veterans in Fayetteville, North Carolina. As part of the VA Fayetteville Coastal Health Care system the program offers a full continuum of care and aftercare for Veterans struggling with addiction and co-occurring mental health disorders. With specialized supports for homeless Veterans and LGBTQ+ Veterans, the center combines therapies with…
804 Stamper Road Suite 101, Fayetteville, NC 28303
Outpatient
Private insurance
Raintree Clinic is a private outpatient addiction treatment provider in Fayetteville, North Carolina offering counseling centered outpatient rehab for clients managing substance use disorders. Outpatient Addiction Treatment at Raintree Clinic Raintree Clinic's outpatient program serves adults of all genders, including specialized support for DUI/DWI clients, military members, and LGBTQ clients. The program addresses alcohol use, opioid use, and broader substance…
RHA Health Services – Fayetteville Behavioral Health is an outpatient substance use treatment centerin Fayetteville, North Carolina. The program offers intensive outpatient treatment and medication assisted treatment along with medication management for adults and adolescents facing substance use disorders and co-occurring mental health conditions. RHA's Fayetteville team brings trauma informed and evidence based care with particular experience supporting active duty…
On The Road Again INC in Fayetteville, North Carolina specializes in substance abuse assessments and counseling for court-ordered and community-based recovery needs. The center provides services for adults and young adults navigating DOT compliance and substance use recovery. With a focus on intensive care and practical reintegration support On The Road Again INC helps clients meet legal and professional obligations…
Eleanor Health is a virtual outpatient addiction treatment provider in Fayetteville, North Carolina offering flexible telehealth services for adults seeking recovery from substance use disorders. The program combines medication and counseling with peer support to help clients manage opioid addiction, alcohol use disorder, methamphetamine addiction and prescription drug misuse. Eleanor Health takes a whole-person approach that meets clients where they…
Cape Fear Valley Behavioral Health Services is a hospital based behavioral health and substance use treatment program in Fayetteville, North Carolina offering a coordinated continuum of care for children and teens, adults and families. The facility provides inpatient psychiatric care, emergency and triage services, outpatient counseling and telehealth. As part of the largest behavioral health network in Cumberland County and…
711 Executive Place 3rd and 4th Floor, Fayetteville, NC 28305
Inpatient
Outpatient
Medicaid
Private insurance
Cape Fear Valley Health - Community Mental Health Center is a Joint Commission accredited drug and alcohol addiction treatment facility located in Fayetteville, North Carolina. Serving adults, children, and adolescents with substance use disorders and co-occurring mental health diagnoses. Programs outpatient drug and alcohol rehab counseling, medication-assisted treatment, skill building, peer support, and psychiatric care. Medicare, Medicaid, self-pay, sliding scale,…
Alliance Health Fayetteville is a rehab located in Fayetteville, North Carolina. Alliance Health Fayetteville specializes in the treatment of addiction.
Cape Fear Valley Behavioral Health Services is a rehab located in Fayetteville, North Carolina. Cape Fear Valley Behavioral Health Services specializes in the treatment of addiction.
Steven A. Cohen Military Family Clinic at Centerstone Fayetteville is a rehab located in Fayetteville, North Carolina. Steven A. Cohen Military Family Clinic at Centerstone Fayetteville specializes in the treatment of addiction.
Cumberland County Communicare is a rehab located in Fayetteville, North Carolina. Cumberland County Communicare specializes in the treatment of addiction.
Fayetteville VA Medical Center is a rehab located in Fayetteville, North Carolina. Fayetteville VA Medical Center specializes in the treatment of addiction.
No centers match all of these filters.
Rehab centers in cities near Fayetteville
Treatment centers in nearby cities, closest to Fayetteville first. Filter by insurance, level of care, and who the program is designed for.
“Rural areas like those in Fayetteville and others across the South are desperate for more providers who can assist these people in treating opioid addiction and embracing recovery.”
Something you may not realize, unless you live in a rural area, is that addiction treatment services are hard to come by. In fact, more than 75% of counties across the country don't have opioid treatment programs.
Currently, there are only three medications approved to treat opioid addiction: buprenorphine, methadone and naltrexone. Unfortunately, providers of these medications are in great need in rural areas of the country, including Fayetteville. Some patients drive hours at a time to get to a clinic, which makes working difficult, and it also becomes very expensive.
Frequently asked questions
What to know about rehab in Fayetteville
How We Rank Listings
Every facility on this page is included based on objective, verifiable criteria rather than paid placement. We prioritize state licensing and independent accreditation from bodies such as the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF), then layer in the level of care offered, the range of specialty programs, accepted forms of payment and the treatment approaches each provider uses.
Listings are compiled from public data sources, information verified directly with facilities, and details reported by the facilities themselves. We update entries as new information becomes available. Our goal is to help you compare real options near you, not to steer you toward any single provider. When you contact a center, we encourage you to confirm current availability, licensing and coverage before making a decision.
Current state licensing and independent accreditation
Levels of care and specialty programs offered
Accepted insurance and payment options, including Medicaid and TRICARE
Evidence-based treatment approaches and medication-assisted treatment availability
Rehab in Fayetteville: What to Know
Fayetteville is the seat of Cumberland County and the anchor of a metro area shaped in large part by Fort Bragg, one of the largest military installations in the country. That military presence, combined with a population that has historically had lower median household incomes than the statewide average, shapes both who seeks treatment here and how care is paid for. Our directory currently lists 34 drug and alcohol treatment facilities in and around Fayetteville, spanning medical detox, inpatient care and a deep bench of outpatient options. You can also browse the full North Carolina rehab directory to compare nearby cities.
Cumberland County has been among the hardest-hit counties in North Carolina for overdose deaths since 2020, which has driven an unusually coordinated local response. The Cumberland-Fayetteville Opioid Response Team (C-FORT), started in 2018 under the county Department of Public Health, has grown into a coalition of roughly 160 treatment providers, peer support specialists and community organizations. In October 2024, the coalition opened the C-FORT Recovery Resource Center, a walk-in hub that connects residents to treatment providers, peer support, syringe services and free naloxone.
The local drug supply reflects national trends toward more dangerous combinations. Seventy percent of Cumberland County drug samples sent to the UNC Street Drug Analysis Lab through November 2023 tested positive for xylazine, a veterinary tranquilizer that complicates overdose reversal, and the county has begun detecting medetomidine, another tranquilizer, in its illicit opioid supply. Because fentanyl and these adulterants dominate the local supply, many people entering care here need medically supervised withdrawal before moving into ongoing treatment. Understanding the range of addiction treatment options available locally can make that first step less daunting.
Treatment in Fayetteville is coordinated in part through Alliance Health, the Local Management Entity/Managed Care Organization (LME/MCO) that manages behavioral health and substance use services for Cumberland County residents. For people navigating opioid use disorder, the area has a concentration of methadone and buprenorphine providers clustered along Melrose Road and elsewhere in the city.
Cost of Rehab in Fayetteville
There is no single price for addiction treatment in Fayetteville. What you pay depends on the level of care, the length of your stay, whether you need medically supervised withdrawal and how much of the cost your insurance covers. Statewide averages offer a useful starting point for setting expectations before you contact a facility and verify your own out-of-pocket cost.
$140,000
Medical detox is the most expensive level of care in North Carolina, reflecting round-the-clock medical monitoring.
$50,000
Long-term inpatient rehab in North Carolina costs an average of $50,000 per person.
$8,000
Outpatient addiction treatment in North Carolina averages $8,000, a lower-cost alternative to residential care.
$7,000
Outpatient methadone treatment is the most affordable option, averaging $7,000.
These are state averages, and Fayetteville figures can land at or below them given the region's cost of living. Insurance, sliding-scale fees and financial assistance can substantially lower the actual cost, so treat the numbers above as a comparison tool rather than a quote. Several factors move the final price up or down:
Level of care detox, inpatient, or outpatient
Length of program 30, 60, or 90 days
Need for medically supervised withdrawal
Treatment for co-occurring mental health conditions
Insurance plan and in-network status
Sliding-scale fees and financial assistance
If cost feels like a barrier, start by verifying your insurance benefits with each facility. Many people find that a covered outpatient program, or an inpatient stay that steps down to lower-intensity outpatient care, keeps out-of-pocket spending far below the sticker prices above.
How to Pay for Rehab in Fayetteville
Across the 34 facilities in our Fayetteville directory, providers accept a wide mix of payment types, including self-pay, private insurance, Medicaid, Medicare and TRICARE. Given the city's large military and veteran community, TRICARE acceptance is especially relevant here. The cards below show how many local facilities accept each payment type.
31 accept self-payment or cash
23 accept private health insurance
15 accept NC Medicaid
6 accept Medicare
14 accept TRICARE
11 offer financial assistance
9 offer sliding-scale fees
11 offer financing
Understanding which programs work with your coverage narrows the search quickly. Here is how the major payment pathways work locally.
Medicare
Six facilities in the Fayetteville area accept Medicare, which covers medically necessary addiction treatment for adults 65 and older and for some younger people with disabilities. Coverage spans inpatient care, outpatient services and prescription medications used in treatment across Medicare's different parts. If you are enrolled in Medicare, ask each facility whether it participates and what your copays and deductibles will be. Our guide to using insurance for rehab explains how to confirm coverage before you commit.
Medicaid
Fifteen Fayetteville facilities accept NC Medicaid, the state and federal program covering eligible low-income adults, children, pregnant women, seniors and people with disabilities. For Cumberland County residents with a serious mental illness or severe substance use disorder, behavioral health services are managed through a Behavioral Health and I/DD Tailored Plan. This care is coordinated locally by Alliance Health as the LME/MCO. NC Medicaid can cover screenings, inpatient and outpatient care, family counseling and medication-assisted treatment, including buprenorphine, methadone and naltrexone. You can reach Alliance Health at 1-800-510-9132, or the NC Medicaid Enrollment Broker at 1-833-870-5500 with eligibility questions.
Military Benefits and TRICARE
With Fort Bragg anchoring the region, active-duty service members, military families and veterans make up a significant share of people seeking care in Fayetteville. Fourteen local facilities accept TRICARE, which covers inpatient care, outpatient services, partial hospitalization, residential treatment and medication-assisted treatment. Veterans can also access care through the Fayetteville VA Medical Center's substance abuse treatment program. For more on benefits and affirming care, see our rehab resources for veterans and military.
Insurance and Private Pay
Twenty-three Fayetteville facilities accept private health insurance, and 31 accept self-payment. Under federal parity rules, most private and marketplace plans cover substance use treatment on par with other medical care, though the specifics vary by plan. If you are paying without insurance, ask about total program cost up front and whether the facility offers financing.
Major insurance carriers accepted across North Carolina facilities include:
Aetna
Blue Cross Blue Shield of NC
Cigna
Humana
Medicaid
Medicare
TRICARE
UnitedHealthcare
Other Low-Cost Options
Nine facilities offer sliding-scale fees that adjust to income, 11 offer financial assistance, and 11 offer financing to spread payments over time. These options can make treatment reachable even without robust insurance. North Carolina also funds treatment for uninsured and underinsured residents through state block grants administered by the LME/MCO.
Free Treatment Programs
While our directory does not currently list facilities offering fully free treatment in Fayetteville, cost should not stop you from getting help. The C-FORT Recovery Resource Center provides free peer support, naloxone, and connection to treatment providers and several free and low-cost community resources are listed below. Rehab scholarships are another avenue worth exploring for residential care.
Levels of Care Available in Fayetteville
Fayetteville facilities span the full continuum of care, from medically supervised detox through long-term outpatient support. Our directory lists 14 detox providers, 15 inpatient programs, 33 outpatient clinics, 21 dual diagnosis programs and 4 sober living homes. The cards below show what is available locally.
14 medical detox facilities
15 inpatient rehab programs
33 standard outpatient clinics
21 dual diagnosis programs
4 sober living homes
Medical detox is usually the first step for people withdrawing from opioids, alcohol or benzodiazepines, and it matters especially in Fayetteville given how much fentanyl and xylazine appear in the local supply. Supervised withdrawal manages symptoms safely and sets a foundation for ongoing care. Learn more about medical detox.
Inpatient rehab provides 24-hour structured care in a residential setting, which suits people with severe substance use disorders or unstable home environments. These programs combine therapy, medical oversight and peer support. See what to expect from residential treatment.
Outpatient rehab is the deepest category locally, with 33 clinics. Outpatient care lets people attend therapy and receive medication management while living at home and keeping up with work or family, and it is often used as a step down from inpatient care. Explore outpatient and intensive outpatient programs.
Dual diagnosis programs treat a substance use disorder alongside a co-occurring mental health condition such as depression or anxiety at the same time, which improves outcomes when both are present. With 21 local programs, this level of care is well represented in Fayetteville.
Sober living homes and other aftercare supports help people maintain recovery after a formal program ends, offering structure and accountability during the transition back to daily life.
Specialty Programs in Fayetteville
Many Fayetteville facilities tailor treatment to specific populations and needs. The strongest specialty representation here reflects the city itself: a large veteran and military community, and high demand for alcohol and opioid-specific care.
26 men's programs
24 women's programs
23 young adult programs
31 alcohol rehab programs
25 opioid rehab programs
9 veterans & military programs
9 programs for older adults
3 LGBTQ+ friendly programs
Alcohol remains the most commonly treated substance locally, with 31 programs offering care for alcohol use disorder. Opioid-specific care is close behind at 25 programs, reflecting the county's ongoing response to fentanyl in the drug supply and its cluster of providers treating opioid use disorder.
Given Fort Bragg's footprint, 9 facilities offer programs designed for veterans and service members, addressing the trauma, deployment stress and co-occurring conditions common in this population. For younger residents, 23 young adult programs address young adult and college student substance use, and 3 facilities offer LGBTQ+ friendly care with LGBTQ+ affirming addiction care.
Free and Low-Cost Rehab Resources in Fayetteville
Beyond licensed treatment facilities, Cumberland County has built one of the more coordinated networks of free and low-cost support in North Carolina, much of it funded through opioid settlement dollars. If you or someone you love needs help right now, start with the crisis lines below, then use the local hubs to connect with ongoing care. For immediate danger, call 911.
Crisis and Immediate Help
988 Suicide and Crisis Lifeline — Call or text 988, available 24/7. For Spanish, press 2 or text "AYUDA" to 988. See our crisis and suicide prevention resources.
SAMHSA National Helpline — 1-800-662-HELP (4357), free and confidential treatment referral, 24/7.
NC Peer Warmline — 1-855-PEERS NC (1-855-733-7762), peer support during non-traditional hours.
NC 211 — Dial 211 to connect with food, housing, mental health and substance use resources.
County Health and Recovery Hubs
C-FORT Recovery Resource Center — 707 Executive Place, Fayetteville, NC 28305. Walk-in hub for peer support, free naloxone, syringe services, SMART Recovery groups, and connection to treatment providers. www.cumberlandcountync.gov
Cumberland County Department of Public Health — 1235 Ramsey St, Fayetteville, NC 28301. Phone: 910-433-3600. Free naloxone and training; ask for naloxone training at the main line. www.co.cumberland.nc.us
Cumberland Recovery Response Center — 1724 Roxie Ave, Fayetteville, NC 28304. Phone: 910-778-5900. Open 24/7 as a walk-in psychiatric and substance use crisis center offering detox and withdrawal management. cumberlandcountync.gov/home
Harm Reduction
Free naloxone (Narcan) — Available at the C-FORT Recovery Resource Center, a vending machine in the lobby of the Cumberland County Detention Center (204 Gillespie St), and nearly 50 county pharmacies listed at Naloxone Saves NC. www.cumberlandcountync.gov
North Carolina Survivors Union / NC Harm Reduction Coalition — Syringe services, fentanyl test strips, and naloxone kits. www.nchrc.org
Veterans and Military
Fayetteville VA Medical Center, Substance Abuse Treatment Program — 2300 Ramsey St, Building 47, Fayetteville, NC 28301. Inpatient and outpatient substance use treatment for veterans. www.va.gov/directory/guide/state
Government and Medicaid
Alliance Health (LME/MCO) — 1-800-510-9132. Coordinates Medicaid and state-funded behavioral health and substance use services for Cumberland County residents. www.alliancehealthplan.org
NC Medicaid Enrollment Broker — 1-833-870-5500, for eligibility and enrollment questions. ncmedicaidplans.gov/en
Drug and Alcohol Use Statistics in Fayetteville
Cumberland County's overdose numbers tell a story of crisis and, more recently, hard-won progress. After years among the highest overdose death rates in North Carolina, the county recorded its largest one-year decrease since 2011, which local officials credit to naloxone distribution and expanded treatment access through C-FORT.
144
Cumberland County drug overdose deaths in 2024, down 46 from the prior year. Source: North Carolina Department of Health and Human Services, 2025.
190
Cumberland County overdose deaths in 2023, a rate of 56.2 per 100,000 residents. Source: North Carolina Department of Health and Human Services, 2024.
453
Emergency department visits by Cumberland County residents for overdose in 2024. Source: Cumberland County Department of Public Health, 2025.
One-year decline
24%
Decrease in Cumberland County's overdose death rate from 2023 to 2024, the largest single-year drop since 2011. Source: NCDHHS, 2025.
Contain xylazine
70%
Of Cumberland County drug samples tested through November 2023 were positive for xylazine, a veterinary tranquilizer increasingly mixed into the opioid supply. Source: UNC Street Drug Analysis Lab, 2024.
The presence of xylazine and the recent emergence of medetomidine keep local officials cautious even as deaths fall, because these tranquilizers do not respond to naloxone and complicate overdose reversal. Because fentanyl continues to drive most overdose deaths here, understanding fentanyl overdose risk is central to prevention in Cumberland County. For national context on how these local figures compare, see our national substance use statistics.
Medical reviewer
Sendra Yang, PharmD, MBA
Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…
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,…
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