Compare 18 addiction treatment centers in and around Gastonia, 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…
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…
McLeod Addictive Disease Center is an outpatient substance use treatment facility in Gastonia, North Carolina offering treatment and counseling services as part of the McLeod Centers for Wellbeing network. The clinic supports adults and young adults navigating opioid use disorder, alcohol use and other substance use challenges through trauma-informed care. Their whole-person approach centers dignity, respect and practical support to…
New Season Treatment Center is located in Gastonia, North Carolina. They provide opioid addiction recovery treatment services to men and women who’re seeking care for their opioid use disorder. At New Seasons, you'll be supported through evidence based treatments including medication assisted treatment and individual and group counseling. If you need more robust support, you'll find it through available intensive…
Pavana Treatment Group in Gastonia, North Carolina provide substance abuse treatment for opioid use disorder and alcohol use disorder. The program serves adult men and women through medications combined with behavioral services and community-based recovery supports. Pavana's mission is to deliver compassionate, non-judgmental care in a familiar medical office setting, helping patients access treatment quickly without the barriers of waitlists…
The Gastonia's Potter's House is a nonprofit, faith based provider of long term residential addiction treatment in Gastonia, North Carolina, serving adult women struggling with substance abuse, alcoholism and other life threatening issues. While the ministry connects clients with detox centers and community partners when needed, its central focus is an 18 month Christ centered residential program designed to support…
Flynn Fellowship Home in Gastonia, North Carolina provides long-term supervised sober living for adults recovering from alcohol and substance use disorders. The program combines structured housing with outside outpatient services through Phoenix Counseling, 12-step participation and peer support to guide residents toward lasting sobriety. Flynn offers a safe, home-like environment built on accountability, fellowship and the rebuilding of independent living…
Insights In Recovery is an outpatient addiction treatment center in Gastonia, North Carolina, providing substance use and co occurring mental health support for adolescents, adults and older clients. Located on West Main Avenue, the program offers flexible outpatient care, assessments and continuing support, including services connected with DWI evaluations and treatment. The facility emphasizes accessible, community based care with evidence…
Phoenix Counseling and Crisis Centers is a nonprofit behavioral health and addiction treatment provider in Gastonia, North Carolina. The organization supports adults and adolescents facing substance use and co-occurring mental health concerns. Phoenix emphasizes community based, person centered care that blends crisis response with longmterm recovery support. Substance Use Treatment Programs Clients may enter care through the Gaston Crisis and…
325 Dr. Martin Luther King Jr Way, Gastonia, NC 28052
Outpatient
Gaston County Restorative Justice Center is a rehab located in Gastonia, North Carolina. Gaston County Restorative Justice Center specializes in the treatment of addiction.
New Beginnings Treatment Center Gastonia is a rehab located in Gastonia, North Carolina. New Beginnings Treatment Center Gastonia specializes in the treatment of addiction.
Self Concepts Clinical Counseling is a rehab located in Gastonia, North Carolina. Self Concepts Clinical Counseling specializes in the treatment of addiction.
Support Incorporated Day Treatment is a rehab located in Gastonia, North Carolina. Support Incorporated Day Treatment specializes in the treatment of addiction.
We recognize the need for quality addiction treatment to help you overcome this life challenge. That's why we verify each listing on this page against public licensing and accreditation records. We also prioritize programs with third party accreditation from the Joint Commission or the Commission on Accreditation of Rehabilitation Facilities (CARF).
We include more details that matter as you consider treatment centers for your care in North Carolina. We organize the information to make comparisons easier and when we can't verify it, we leave it out rather than guess.
Our paid sponsors are labeled and we don't offer a clinical endorsement for any treatment center. The following factors are typically important to your decision:
State licensure
Third party accreditation
Location
Payment options
Levels of care
Evidence based services
Insurance accepted
Specialty programs
Rehab in Gastonia - What to Know
Gastonia is the largest city in the county and the seat of Gaston County. The city sits just west of Charlotte along the I-85 corridor.
Eighteen treatment centers in and around Gastonia offer services like medical detox, inpatient and residential care, and many outpatient treatment options. Check out our North Carolina rehab directory for options outside the city limits, including communities across the Charlotte metro and the western Piedmont.
CaroMont Health is the county’s largest health system and a longtime partner in the local overdose response initiatives. They have donated naloxone to law enforcement and helped connect residents to detox and treatment.
Gaston County has also organized response through the Gaston County Controlled Substances Coalition. This was formed in 2016 to coordinate prevention, treatment and harm reduction across agencies.
Understanding the range of addiction treatment options is an important step before you decide on where to get care. Gaston County has a history of heavy opioid overdoses in North Carolina. The overdose pattern began with prescription painkillers and heroin. It is now driven in large part by fentanyl mixed in the street drug supply.
This data supports the need for rapid access to naloxone, medication assisted treatment and care for co-occurring mental health conditions. Our overview of fentanyl addiction and overdose risk explains what to watch for.
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 Gaston County Narcan vending machines, at pharmacies under the statewide standing order, and by mail through naloxonesaves.org
Coverage: 8 of the 18 Gastonia providers accept North Carolina Medicaid, which expanded to more adults in December 2023
Cost of Rehab in Gastonia
Treatment costs in Gastonia depend on the level of care you need, the length of time you're in treatment and whether you use insurance. Statewide cost averages are a useful starting point to find out what different types of care tend to cost in North Carolina.
You can lower your out of pocket expenses by first verifying your insurance benefits and working with the treatment center on public funding and financial assistance when it's possible. Our guide to using insurance for rehab walks you through how to do that.
$153,932
Medical detox is the most expensive level of care, averaging $153,932 statewide in North Carolina.
$54,086
Long-term inpatient rehab in North Carolina costs an average of $54,086.
$8,322
Outpatient addiction treatment in North Carolina averages $8,322.
$7,394
Outpatient methadone treatment is the most affordable option, averaging $7,394.
Gastonia is located within the Charlotte metro area. This influences treatment prices that can run at or near these North Carolina averages. The area's strong outpatient resources gives you lower cost options that don't need an inpatient or residential stay.
Outpatient and inpatient programs are on opposite ends of the cost range for treatment. Cost should not be a barrier to receiving treatment in North Carolina when there are several payment options available to help meet your needs. These factors influence the final number:
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 Gastonia
There is a wide mix of payment options in the 18 Gastonia facilities in our directory. Most treatment centers accept cash self pay and private insurance. A substantial number of programs work with public coverage and assistance programs.
North Carolina expanded the Medicaid program in December 2023 that allowed more low income adults to qualify for financial help. Below is information on how many local facilities accept each payment type.
14 accept self-payment or cash
11 accept private health insurance
8 accept North Carolina Medicaid
4 accept Medicare
7 offer financial assistance
3 accept TRICARE
3 offer financing
Medicaid
Medicaid began covering more adults ages 19 through 64 in December 2023. This broadened access to substance use treatment across the state. Eight Gastonia facilities in our directory accept North Carolina Medicaid and coverage includes medications for opioid use disorder such as buprenorphine and methadone.
Our guide to medication assisted treatment explains how the process works and how it helps ease withdrawal symptoms and reduce cravings.
Medicare
Medicare provides insurance coverage for eligible adults aged 65 and older and for some younger people with qualifying disabilities. This coverage includes addiction treatment such as inpatient and outpatient services and medications approved by the FDA for treatment.
However specific costs depend on which parts of Medicare you carry. Four Gastonia facilities in our directory accept Medicare.
Military Benefits
TRICARE often covers veterans and active duty service members. TRICARE is accepted at three local facilities that offer inpatient care, outpatient services, and medication assisted treatment. Veterans enrolled in VA health care can also access substance use treatment through VA clinics in the Charlotte area. These are connected to the Salisbury VA Health Care System. Our rehab resources for veterans and military outline what these benefits cover.
Insurance and Private Pay
Eleven facilities in Gastonia accept private health insurance. Most health plans are mandated to cover addiction treatment at the same level as other medical and surgical care under federal parity rules. This coverage also includes mental health conditions. Your actual cost depends on your plan, deductible and whether a program is in the insurance company's network of providers. Verifying insurance benefits is your single best way to avoid an unexpected bill.
Other Low Cost Options
Seven treatment facilities in Gastonia offer financial assistance and three offer financing so treatment costs can be spread over time. At least one local program offers free treatment and Gaston County’s publicly funded behavioral health system extends care to uninsured residents who meet eligibility criteria. This public program is coordinated through the Partners Health Management LME/MCO. Consider rehab scholarships as another route to covering treatment when you need help financing a specialized treatment program. Many major insurance carriers are accepted across Gastonia facilities, including:
Blue Cross Blue Shield of North Carolina
Aetna
Cigna
UnitedHealthcare
Humana
Ambetter
Levels of Care Available in Gastonia
A broad range of treatment options is available in Gastonia. There is an impressive number of outpatient and co-occurring options alongside detox and inpatient programs. Our directory lists 5 detox facilities, 6 inpatient rehab programs and 14 outpatient clinics. The information below lists what is available locally.
5 medical detox facilities
6 inpatient rehab programs
1 partial hospitalization program
14 standard outpatient clinics
11 dual diagnosis programs
1 sober living home
Your treatment may begin with medical detox when you have a physical dependence on substances. Medical detox manages your withdrawal symptoms under supervision. These programs often include medication to ease your symptoms.
After medical detox you might begin an inpatient or residential treatment program for structured, round-the-clock support. At other times widely available outpatient programs may meet your needs as you keep working or caring for your family.
Eleven Gastonia programs treat co-occurring mental health conditions at the same time as substance use disorders. This is called dual diagnosis and is more effective when the diagnoses are treated at the same time. Mental health conditions can include depression, anxiety, PTSD and more.
An aftercare program may follow outpatient treatment to support your long term recovery. Aftercare programs can include job coaching, counseling, 12 step programs and peer support.
Specialty Programs in Gastonia
Many Gastonia facilities offer tailored treatment to specific populations and substances. These programs can make your care feel more relevant. The programs below reflect the specialty options most commonly reported by local providers.
15 alcohol rehab programs
14 opioid rehab programs
15 men’s programs
14 women’s programs
14 young adult programs
1 LGBTQ+ friendly program
Gastonia’s largest specialty categories reflect the substances driving the most demand. Fifteen programs focus on alcohol use disorder and 14 address opioid use disorder. You have solid options when you need help for the two most common addictions.
Programs focused on opioid use disorder are an especially important part of the local network given the county’s overdose data attributed to fentanyl. Fourteen programs serve young adults and one provider offers LGBTQ+ affirming addiction care. Men’s and women’s tracks round out the specialty options across the city.
Free and Low Cost Rehab Resources in Gastonia
Gastonia and Gaston County offer a wide network of free and low cost resources that go beyond what's offered in the local treatment centers. These provide you with the care you need when you need immediate help, harm reduction supplies or a way into publicly funded treatment. Help is available right now when you or someone you know is in crisis. Reaching out to a crisis support line is a safe first step.
Crisis and Helplines
988 Suicide and Crisis Lifeline:
Call or text 988 any time for free, confidential help during a substance use or mental health crisis.
Hope4NC Helpline:
Call 1-855-587-3463 for a free, confidential 24/7 helpline that provides emotional support, counseling referrals and community resources across North Carolina.
SAMHSA National Helpline:
Call 1-800-662-HELP (4357) to reach the free, confidential 24/7 treatment referral line in English and Spanish.
NC 211:
Dial 211 to connect with local health, housing and recovery resources across Gaston County.
Local Treatment and Recovery
Partners Health Management (LME/MCO):
Coordinates publicly funded substance use and mental health services for Medicaid members and uninsured residents in Gaston County.
CaroMont Health:
The county’s largest health system, offering emergency, behavioral health and referral services from CaroMont Regional Medical Center.
Gaston County Controlled Substances Coalition:
A countywide partnership coordinating prevention, treatment access and overdose response.
Harm Reduction and Naloxone
Gaston County naloxone access:
Free Narcan is available through countywide vending machines and at pharmacies under North Carolina’s statewide standing order.
North Carolina Harm Reduction Coalition and naloxonesaves.org:
Mail free naloxone statewide and connect residents to harm reduction and treatment services.
Drug and Alcohol Use Statistics in Gastonia
Gaston County’s substance use crisis is documented through county and state public health data. The county has consistently ranked with higher than average overdose rates in North Carolina. This has been driven largely by fentanyl in the street drug supply. Timely access to treatment and naloxone helps protect public health in this environment.
84
Overdose deaths in Gaston County in 2024, a level state and county officials describe as higher than average, per NCDHHS and Gaston County, 2026.
$40.5M
Opioid settlement funds Gaston County is set to receive over 18 years, part of which funds naloxone access and treatment, per Gaston County, 2026.
18
Drug and alcohol treatment providers listed in Gastonia across all levels of care, per the Addictions.com directory, 2025.
Statewide decline
34%
Drop in North Carolina overdose deaths from 2023 to 2024, from 4,442 to 2,934, 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.
Although statewide average numbers are declining this has not been the uniform experience across communities. Gaston County officials note that overdose numbers have remained stubbornly high even as the state total falls.
The county has steered opioid settlement dollars toward naloxone distribution and treatment capacity in response to these numbers. Check out our overview of national substance use statistics for a broader look at how these figures compare nationally.
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.