Expert Insights
I love it when I come across stories of people getting creative in the name of helping others overcome addiction. So it goes without saying, I was very impressed when I came across Greensboro’s Freedom House Thrift, a thrift store that raises money to provide long-term addiction recovery treatment for mothers with young children. Freedom House Thrift recently opened its third location at 2811 Battleground Ave in the Northwest Centre shopping center, next to Ross Dress for Less and T.J. Maxx.
Freedom House was founded in 2006, and its first store opened in 2007. They also operate a working farm. All proceeds from the thrift stores and farm products go towards funding addiction treatment. Freedom House is one of the only programs in the country that lets young moms bring their children with them to treatment, which can last for up to two years.
How We Rank Listings
Every facility on this page is a licensed drug and alcohol treatment provider serving the Greensboro area. We organize listings to help you compare real options quickly, prioritizing the details that matter most when you are choosing care: level of care offered, treatment specialties, payment and insurance accepted, and accreditation status.
Listings are drawn from public licensing and accreditation records and provider-reported program information. We give visibility to programs that hold recognized third-party accreditation, such as The Joint Commission or CARF and to facilities that report clear, verifiable service and payment details. We do not accept payment in exchange for a higher ranking, and inclusion is not an endorsement of any single provider. Before enrolling, confirm current availability, licensure and coverage directly with the facility.
Rehab in Greensboro: What to Know
Greensboro is the largest city in Guilford County and the anchor of North Carolina’s Piedmont Triad, the metro region it shares with Winston-Salem and High Point. People searching for treatment here have access to 36 drug and alcohol rehab facilities across the county, ranging from medical detox and residential programs to outpatient clinics and office-based medication treatment. You can also browse the full North Carolina rehab directory to compare options in nearby cities and other parts of the state.
Behavioral health services in Guilford County are coordinated through Trillium Health Resources, the regional public managed care organization (LME/MCO) that administers Medicaid and state-funded mental health and substance use services for the county. Trillium replaced the former Sandhills Center after North Carolina consolidated its LME/MCOs in 2024 and launched Tailored Plans for residents with complex behavioral health needs. Major local providers include Cone Health, which operates hospital-based behavioral health and stabilization services, as well as community organizations such as Alcohol & Drug Services (ADS) and a range of outpatient and opioid treatment clinics. For a broader look at program structure, our guide to addiction treatment options explains what to expect at each stage.
One initiative sets Guilford County apart. The Guilford County Solution to the Opioid Problem, known as GCSTOP, is a nonprofit founded in 2017 through a partnership between Guilford County Emergency Services and UNC Greensboro. It provides post-overdose response, syringe services, naloxone distribution and low-barrier medication for opioid use disorder at no cost to participants. The county has committed a share of its $40.75 million in opioid settlement funds, expected to arrive between 2023 and 2039, to expand this work, including plans for a residential treatment facility and a Women with Children Recovery Center.
Fentanyl drives most of the local overdose burden, a pattern that mirrors the rest of the state. Guilford County recorded 213 overdose deaths in 2024, a rate of 38.7 per 100,000 residents, higher than the statewide rate. Because illicit fentanyl is now found in counterfeit pills and mixed into other drugs, medically supervised detox and access to naloxone are central to treatment planning for many people entering care in the area.
Cost of Rehab in Greensboro
The cost of treatment in Greensboro varies widely depending on the level of care, program length and whether you use insurance. As a Piedmont Triad metro area, Greensboro’s costs generally track lower than the state and national averages.
These figures reflect the full cost of care before insurance, financial assistance or sliding-scale discounts are applied. In practice, most people pay far less than the sticker price once coverage is factored in. Several elements move an individual quote up or down.
If cost is a concern, ask each program whether it is in-network for your plan and request a written estimate before you commit. Checking your benefits early and comparing residential treatment against outpatient care can substantially change what you pay.
How to Pay for Rehab in Greensboro
Across the 36 facilities in the Greensboro area, providers accept a mix of payment types, and most work with more than one. Reported options include self-payment, private insurance, Medicaid, Medicare, sliding-scale fees, financial assistance, TRICARE, financing and employee assistance programs. Understanding which paths apply to you is the fastest way to narrow the list.
The right payment route depends on your coverage, your income and whether you qualify for state-funded or veteran services. Here is how the main options work in Greensboro.
Medicare
Eleven Greensboro-area facilities accept Medicare, which covers addiction treatment for people 65 and older and for some younger adults with qualifying disabilities. Medicare can pay toward inpatient care, outpatient services and medication-assisted treatment, though coverage details depend on which parts of Medicare you carry. You can learn more about how Medicare and other insurance cover addiction treatment before you call a program.
Medicaid
Fifteen area facilities accept North Carolina Medicaid. Following Medicaid expansion, more North Carolina adults now qualify for coverage and behavioral health benefits in Guilford County are managed through Trillium Health Resources under the state’s Tailored Plan system. Medicaid can cover screenings, counseling, inpatient and outpatient care and medications used in medication-assisted treatment such as buprenorphine and methadone. To check eligibility or find in-network providers, you can contact Trillium at 1-877-685-2415 or the NC Medicaid Enrollment Broker at 1-833-870-5500.
Military Benefits
Nine facilities in the area accept TRICARE, the health program for active-duty service members, retirees and their families. TRICARE covers a range of substance use services, including detox, inpatient and residential care, outpatient programs and medication-assisted treatment. Veterans may also qualify for care through the Department of Veterans Affairs; our resources for veterans and military families outline additional support options.
Insurance and Private Pay
Most Greensboro programs accept private insurance and 34 accept self-payment for people paying out of pocket. If you plan to use insurance, confirm whether a facility is in-network and whether prior authorization is required before treatment begins. Major carriers active in North Carolina include:
- Aetna
- Blue Cross Blue Shield of NC
- Cigna
- Humana
- UnitedHealthcare
- Medicaid
- Medicare
- TRICARE
Other Low-Cost Options
For those without full coverage, 13 area facilities offer financial assistance, 10 offer sliding-scale fees based on income and 5 offer financing plans. Some programs also participate in state block-grant funding for uninsured residents. If you are exploring reduced-cost care, ask about rehab scholarships and financial aid and whether interim or bridge services are available while you wait for a spot to open.
Levels of Care Available in Greensboro
Greensboro-area facilities span the full continuum of addiction care, including 16 medical detox programs, 15 inpatient rehabs, 31 outpatient clinics and additional partial hospitalization and intensive outpatient options. Matching the level of care to the severity of use is one of the most important decisions in treatment planning.
Medical detox is often the first step for people with physical dependence on alcohol, opioids or benzodiazepines. Supervised medical detox manages withdrawal safely and stabilizes you before ongoing treatment begins. Given the presence of fentanyl in the local drug supply, detox planning frequently pairs with medication for opioid use disorder.
Inpatient and residential rehab provides structured, round-the-clock care in a live-in setting, which suits people who need distance from triggers or who have more severe or long-standing use. Residential treatment combines therapy, medical support and daily routine over a stay that commonly runs 28 to 90 days.
Outpatient care, including partial hospitalization and intensive outpatient programs, lets you receive treatment while living at home and keeping up with work or family. Outpatient and intensive outpatient programs range from a few hours a week to near-daily sessions, and often serve as a step down from residential care.
Dual diagnosis programs treat a substance use disorder alongside a co-occurring mental health condition such as depression or an anxiety disorder. Because roughly one in four people who die of an overdose in North Carolina also live with a mental health condition, integrated care matters. Sober living homes and aftercare and continuing care support the transition back to daily life once a primary program ends.
Specialty Programs in Greensboro
Beyond level of care, many Greensboro-area facilities tailor treatment to specific populations and substances. Finding a program that reflects your identity, life stage or primary substance can make care feel more relevant and easier to stay with.
Gender-specific tracks are widely available, with 24 women’s programs and 24 men’s programs in the area. Twenty-five programs serve young adults, a group whose treatment needs often overlap with young adult and college student substance use. Substance-specific care is also common: 31 programs address alcohol use disorder and 21 address opioid use disorder, reflecting the two most pressing needs locally.
For people who want care that affirms their identity or background, six programs describe themselves as LGBTQ+ affirming, and three offer dedicated services for veterans and members of the military. Five programs focus on the needs of older adults, whose recovery can involve medication interactions and age-related health considerations.
Free and Low-Cost Rehab Resources in Greensboro
If cost or insurance is a barrier, Greensboro and Guilford County have a strong network of free and low-cost resources, from crisis lines to harm reduction services and county-supported behavioral health care. The organizations below can connect you to help regardless of your ability to pay.
Crisis and Helplines
- 988 Suicide & Crisis Lifeline. Call or text 988 for free, 24/7 support during a mental health or substance use crisis. See our crisis and suicide prevention resources for more.
- SAMHSA National Helpline. 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral and information service.
- Alcohol/Drug Council of North Carolina. 1-800-688-4232. A 24/7 statewide hotline for assessment and referral.
- NC 2-1-1. Dial 211 for referrals to local health, treatment and social services.
County and Public Health Services
- Guilford County Behavioral Health Center. 336-890-2700. County-supported behavioral health and addiction services offered regardless of ability to pay. 931 Third St, Greensboro, NC 27405.
- Guilford County Division of Public Health. 336-641-7777. Public health services including harm reduction and naloxone access. 1203 Maple St, Greensboro, NC 27405.
- Trillium Health Resources (LME/MCO). 1-877-685-2415. Manages Medicaid and state-funded mental health and substance use services for Guilford County residents.
Community Nonprofits and Harm Reduction
- GCSTOP (Guilford County Solution to the Opioid Problem). Clinic: 336-604-9365; Syringe Services: 336-207-4142; Post-Overdose Response Team: 336-646-4119. Free harm reduction, naloxone, syringe services, and low-barrier medication for opioid use disorder. 1814 Eastchester Dr, High Point, NC 27265. gcstop.org
- Alcohol & Drug Services (ADS). 336-333-6860. Prevention, intervention, and outpatient treatment for the Greensboro community. 1101 Carolina St, Greensboro, NC 27401. https://adsyes.org/
- North Carolina Survivors Union. A grassroots, peer-led harm reduction hub offering supplies, low-barrier medication and wound care. https://nirhealth.org/partners/north-carolina-survivors-union/
- Greensboro Urban Ministry. 336-271-5959. Shelter, housing assistance, and support services. 305 West Gate City Blvd, Greensboro, NC 27406. https://www.greensborourbanministry.org/
Many of these organizations can also help with transportation, peer support from someone with lived experience and bridge care such as telehealth or interim medication while you wait for a treatment opening.
Drug and Alcohol Use Statistics in Greensboro
Greensboro’s substance use picture is shaped most heavily by the opioid and fentanyl crisis, though recent data offers a note of cautious hope. Guilford County recorded 213 overdose deaths in 2024, and statewide, overdose deaths fell sharply that year for the first time since 2019, a decline officials attribute in part to expanded naloxone access and opioid settlement investments.
Fentanyl remains the dominant driver of fatal overdoses. Statewide, fentanyl and other synthetic opioids were involved in 71% of North Carolina overdose deaths in 2024, and the presence of illicit opioids in counterfeit pills and other drugs continues to put people at risk even when they do not knowingly use them.
Local officials caution that progress is fragile. Guilford County’s Post Overdose Response Team, naloxone vending machines, and low-barrier medication programs are credited with reaching people who might otherwise fall through the gaps, and continued investment through the settlement funds is aimed at sustaining the recent decline. For national context on how these trends compare, see our national substance use statistics.
Resources
- Guilford County Government. (2025). Guilford County Convenes Third Annual Stakeholder Input Session on Use of County’s Opioid Settlement Funds. https://www.guilfordcountync.gov/news/press-releases/2025/07/17/guilford-county-convenes-third-annual-stakeholder-input-session-use-countys-opioid-settlement-funds
- North Carolina Department of Health and Human Services, Division of Public Health. (2026). North Carolina Overdose Epidemic Data. https://www.dph.ncdhhs.gov/programs-services/chronic-disease-and-injury/injury-and-violence-prevention-branch/north-carolina-overdose-epidemic-data
- USAFacts. (2026). How many drug overdose deaths happen every year in North Carolina? https://usafacts.org/answers/how-many-drug-overdose-deaths-happen-every-year-in-the-us/state/north-carolina/
- ABC11 Raleigh-Durham (WTVD). (2026). New data shows sharp drop in fentanyl, overdose deaths across North Carolina. https://abc11.com/post/new-data-shows-sharp-drop-fentanyl-overdose-deaths-north-carolina/18997255/
- Addictions.com. (2026). Alcohol & Drug Rehabs in North Carolina. https://www.addictions.com/rehabs/north-carolina/
- NC Medicaid, Division of Health Benefits. (2026). Behavioral Health and Intellectual/Developmental Disabilities Tailored Plans. https://medicaid.ncdhhs.gov/tailored-plans
- Trillium Health Resources. (2026). About Us. https://www.trilliumhealthresources.org/about-us
- Guilford County Solution to the Opioid Problem (GCSTOP). (2026). Treatment and Services. https://www.gcstop.org/
- Disability Rights North Carolina. (2026). Guilford Opioid Use Disorder and Substance Use Disorder Resources. https://disabilityrightsnc.org/nc-resources/guilford-opioid-use-disorder-and-substance-use-disorder-resources/
- Guilford County Government. (2026). Mental and Behavioral Health Care Services. https://www.guilfordcountync.gov/government/departments-and-agencies/mental-and-behavioral-health-care-services
