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Drug & alcohol rehab centers in Raleigh, NC

Compare 40 addiction treatment centers in and around Raleigh, 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.

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40 addiction treatment centers in Raleigh, NC

Showing 1–25 How results are ordered

Thumbnail Name Address Phone Treatment Insurance About
Holly Hill Hospital Raleigh NC 27610

Holly Hill Hospital Raleigh

3019 Falstaff Road, Raleigh, NC 27610

  • Inpatient
  • Medicaid
  • Private insurance

Holly Hill Hospital is an addiction treatment facility with multiple campuses for men, women and teens located in Raleigh, North Carolina. The main campus on Falstaff Road provides programs and resources for adults with mental health or substance abuse disorders. Established in 1948, Holly Hill’s high standards for care have earned them accreditations from the Better Business Bureau and the…

Carolina Performance NC 27615

Carolina Performance

8300 Health Park #201, Raleigh, NC 27615

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Carolina Performance, which is located in Raleigh, North Carolina, treats their clients with the drug and alcohol addiction care in the area. Their range of services thoroughly impressed me with their outpatient treatment clinic that helps with substance abuse, co-occurring mental health conditions, and performance enhancement services. Their team is composed of a variety of psychiatrists, psychologists, therapists and coaches…

Genesis DWI Services NC 27603

Genesis DWI Services

319 Chapanoke Rd Ste 114G, Raleigh, NC 27603

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

If you're struggling with drug and alcohol abuse and have faced legal challenges because of a drug and alcohol related charge, the programs that Genesis DWI Services in Raleigh, North Carolina can help you. This organization focuses specifically on helping justice involved individuals work toward reinstating lost driving privileges while helping them address their addiction struggles through targeted counseling. They…

Green Hill Recovery NC 27612

Green Hill Recovery

6124 St Giles St, Raleigh, NC 27612

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

The Advaita Collective’s Green Hill location in Raleigh, North Carolina is an addiction treatment center for young men specifically. They work with most major insurance providers and are in-network with BCBS, UMR, United Healthcare, Aetna, Medcost, and Cigna. Outpatient Treatment Programs for Young Men The center treats young men and offers three levels of care. Intensive outpatient programming (IOP) addresses…

Healing Transitions NC 27617

Healing Transitions

3304 Glen Royal Rd, Raleigh, NC 27617

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Healing Transitions can be found in Raleigh, North Carolina. They're a nonprofit recovery organization that offers no-cost, peer-based addiction treatment services to women who are struggling with substance use disorders and co-occurring mental health conditions. They stand out to me because they offer services for often ignored populations such as the homeless community, uninsured people, and those who are unable…

Map showing New Waters Recovery & Detox North Carolina

New Waters Recovery & Detox North Carolina

3810 Bland Rd, Raleigh, NC 27609

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

New Waters Recovery & Detox North Carolina in Raleigh, North Carolin, is accredited by The Joint Commission and is an NAATP Provider member. They work with all commercial carriers and are in-network with Aetna. Flexible payment plans are available for out of pocket expenses. Free Transportation and Assessment A complementary intake assessment is offered over the phone for those seeking…

First Step Services Raleigh NC 27529

First Step Services Raleigh

211 East Six Forks Road Suite 117, Raleigh, NC 27529

  • Outpatient
  • Private insurance

First Step Services Raleigh is a CARF accredited outpatient addiction treatment provider staffed by masters level, licensed and certified substance use counselors serving Raleigh, NC. The practice offers intensive outpatient programming, individual and group counseling, family therapy and specialized DWI education services for adults and young adults. First Step Services delivers flexible, real world recovery support that allows clients to…

The Carter Clinic Raleigh NC 27609

The Carter Clinic Raleigh

4009 Barrett Drive Suite 100, Raleigh, NC 27609

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

The Carter Clinic Raleigh is an outpatient behavioral health clinic at 4009 Barrett Drive in Raleigh, North Carolina specializing in substance use disorder treatment. The clinic offers detox and outpatient addiction services for adults seeking recovery from alcohol, opioids and other substances. With both men's and women's programs, The Carter Clinic provides accessible care tailored to individual recovery needs. Outpatient…

Fellowship Health Resources

Fellowship Health Resources

5509 Creedmoor Road, Raleigh, NC 27612

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

Fellowship Health Resources is an outpatient addiction treatment and behavioral health provider in Raleigh, North Carolina offering substance use care alongside dual diagnosis mental health services. They take an evidence based and community focused approach designed to support adults and transitional age young adults in lasting recovery. Psychosocial Rehabilitation and MAT Care typically begins with an assessment to determine the…

Healing Transitions Men Campus NC 27603

Healing Transitions Men Campus

1251 Goode Street, Raleigh, NC 27603

  • Detox
  • Inpatient
  • Outpatient
  • Men

Healing Transitions Men Campus is an addiction treatment center in Raleigh, North Carolina offering a full continuum of recovery services designed for men seeking freedom from substance use. The nonprofit program provides 24/7 non medical detox, emergency shelter and a structured long term recovery program that guides men from crisis to employment and independent living. With a peer driven, low…

Healing Transitions Womens Campus NC 27617

Healing Transitions Womens Campus

3304 Glen Royal Road, Raleigh, NC 27617

  • Detox
  • Inpatient

Healing Transitions – Women's Campus is a substance use recovery center in Raleigh, North Carolina offering peer based support for women seeking freedom from alcoholism and other drug addictions. The campus provides non medical detox, residential recovery programming and outpatient services through its DART Cherry program for women. Clients value the safe and structured environment and the strong sense of…

Morse Clinic of North Raleigh NC 27615

Morse Clinic of North Raleigh

3209 Gresham Lake Road Building 10, Suite 113, Raleigh, NC 27615

  • Outpatient
  • Medicaid

Morse Clinic of North Raleigh provides substance use recovery for adults in Wake County, North Carolina. The clinic specializes in medication for opioid use disorder (MOUD) paired with counseling to address heroin, fentanyl and other opiate addictions. Their compassionate, structured approach combines daily medication support with ongoing therapy to help patients build sustainable recovery on their own timeline. Specialized Opioid…

Southlight Healthcare Garner Road NC 27610

Southlight Healthcare Garner Road

2101 Garner Road, Raleigh, NC 27610

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

SouthLight Healthcare Garner Road is an outpatient addiction treatment center in Raleigh, North Carolina offering evidence based care for adults navigating substance use and co-occurring mental health challenges. Known as the SouthLight Raleigh Hub this location is a nonprofit with more than 55 years of community service delivering accessible treatment focused on long term recovery. Opioid MAT Treatment and IOP…

Triangle Springs NC 27617

Triangle Springs

10901 World Trade Blvd, Raleigh, NC 27617

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Triangle Springs is a behavioral health hospital in Raleigh, North Carolina providing comprehensive addiction treatment and mental health services for adults. The facility offers a full continuum including medically supervised detox, inpatient rehab, partial hospitalization and intensive outpatient programs. Addiction Treatment with Medically Supervised Detox Treatment often begins with medically supervised detoxification, where clients receive around the clock monitoring and…

New Season Raleigh Treatment Center NC 27610

New Season Raleigh Treatment Center

3911 New Bern Avenue, Raleigh, NC 27610

  • Detox
  • Outpatient
  • Medicaid
  • Private insurance

New Season Treatment Center is an intensive opioid recovery program in Raleigh, North Carolina. The expert team provides care for adults recovering from opioid use disorder. The facility serves Raleigh and surrounding communities including Garner, Cary, Knightdale and Millbrook. The center combines physician-led treatment with integrated counseling, case management and community support to help clients achieve long-term recovery. Opioid Treatment…

Unc Health Care Alcohol And Drug Detoxification Unit At Wakebrook NC 27610

Unc Health Care Alcohol And Drug Detoxification Unit At Wakebrook

107 Sunnybrook Rd, Raleigh, NC 27610

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Unc Health Care Alcohol And Drug Detoxification Unit At Wakebrook is a rehab located in Raleigh, North Carolina. Unc Health Care Alcohol And Drug Detoxification Unit At Wakebrook specializes in the treatment of addiction.

Map showing Durham VA Health Care System Raleigh 2 CBOC

Durham VA Health Care System Raleigh 2 CBOC

3040 Hammond Business Place Suite 105, Raleigh, NC 27603

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Wake County Clinic gives vets access to primary medical care and mental health services. If you're dealing with anything from anxiety to schizophrenia or addiction then this Raleigh, North Carolina clinic is there for you. You’ll work with a therapist to process your pain and learn how to make healthy choices. You don’t need an appointment but you’ll need a…

Map showing SouthLight on Poplarwood

SouthLight on Poplarwood

3117 Poplarwood Ct, Raleigh, NC 27604

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

SouthLight on Poplarwood is a behavioral health provider offering outpatient mental health and substance use treatment in North Raleigh, North Carolina. The center takes a person-centered approach that emphasizes engagement, education and empowerment to help clients build lasting recovery. Opioid Treatment Program SouthLight's Poplarwood location offers an office-based opioid treatment program that combines FDA-approved medications with counseling to address opioid…

Map showing Monarch on Navaho

Monarch on Navaho

1001 Navaho Dr #100, Raleigh, NC 27609

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Monarch on Navaho is an addiction treatment center in Raleigh, North Carolina part of the broader Monarch behavioral health network serving individuals with substance use and mental health needs. The facility offers outpatient treatment, detox services and inpatient programming along with telehealth options for clients across the state. What addiction treatment programs are available? Monarch on Navaho provides outpatient addiction…

North Carolina Recovery Support Services NC 27609

North Carolina Recovery Support Services

1001 Navaho Drive Suite GL:103, Raleigh, NC 27609

  • Outpatient
  • Medicaid
  • Private insurance

North Carolina Recovery Support Services is a rehab located in Raleigh, North Carolina. North Carolina Recovery Support Services specializes in the treatment of addiction.

Arbor Counseling Shepherd Fountain

Arbor Counseling Shepherd Fountain

4010 Barrett Drive Suite 101, Raleigh, NC 27609

  • Outpatient

Arbor Counseling Shepherd Fountain is a rehab located in Raleigh, North Carolina. Arbor Counseling Shepherd Fountain specializes in the treatment of addiction.

Carolina House Raleigh NC 27607

Carolina House Raleigh

1340 Sunday Drive Suite 105, Raleigh, NC 27607

  • Inpatient
  • Outpatient
  • Private insurance

Carolina House Raleigh is a rehab located in Raleigh, North Carolina. Carolina House Raleigh specializes in the treatment of addiction.

Carolina Outreach Raleigh

Carolina Outreach Raleigh

3012 Falstaff Road, Raleigh, NC 27610

  • Outpatient
  • Medicaid
  • Private insurance

Carolina Outreach Raleigh is a rehab located in Raleigh, North Carolina. Carolina Outreach Raleigh specializes in the treatment of addiction.

Cottage Health Care Services NC 27609

Cottage Health Care Services

3826 Bland Road, Raleigh, NC 27609

  • Outpatient
  • Medicaid

Cottage Health Care Services is a rehab located in Raleigh, North Carolina. Cottage Health Care Services specializes in the treatment of addiction.

Raleigh VA Clinic NC 27610

Raleigh VA Clinic

3305 Sungate Boulevard, Raleigh, NC 27610

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Raleigh VA Clinic is a rehab located in Raleigh, North Carolina. Raleigh VA Clinic specializes in the treatment of addiction.

Rehab centers in cities near Raleigh

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

See North Carolina rehab centers →

Nikki Seay, LPN, BS

Addiction & Mental Health Author

Full bio

Expert insight

“Wake Monarch Academy opened in 2020.”

Talk about a mom on a mission. Leah Wright is a first grade teacher who found out the hard way it’s not as easy as people think it is to find treatment for a loved one struggling with opioid addiction. So Leah decided to do something about it: she raised the money to open a high school in Wake County designed specifically for students overcoming addiction.

According to Leah, when she was trying to find treatment for her teenage son’s addiction, she quickly realized there weren’t enough resources for adolescents. She was turned away from every rehab she called due to the fact that they didn’t accept patients under the age of 18.

Frequently asked questions

What to know about rehab in Raleigh

Listings in our Raleigh directory are ranked using a weighted scoring system that rewards quality indicators rather than paid placement. Accreditation carries the most weight: programs holding credentials from the Joint Commission, CARF, or NAATP are scored higher because those bodies set external quality benchmarks that facilities must maintain to keep their credentials. In Raleigh, 3 facilities hold Joint Commission accreditation and 10 hold CARF accreditation.

Beyond accreditation, we evaluate service breadth (the number of levels of care and specialty programs offered), accepted payment methods including Medicaid, Medicare, and sliding-scale options, and state licensing status. Facilities that can serve a wider range of patients and payment situations score higher. This directory currently includes 40 treatment providers in the greater Raleigh area. Listings are provided for informational purposes and do not constitute a personal endorsement of any individual program.

Rehab in Raleigh: What to Know

Raleigh is the seat of Wake County and the state capital of North Carolina, situated at the center of the Research Triangle metro region. For people searching for addiction treatment in the Raleigh area, the North Carolina rehab directory currently lists 40 facilities within the city and surrounding communities, ranging from community-based outpatient clinics to residential programs with medically supervised detox.

Treatment demand has grown alongside Wake County's rapid population growth, and local public health infrastructure has expanded accordingly. Wake County manages public behavioral health services through Alliance Health, the Local Management Entity and Managed Care Organization (LME-MCO) serving Medicaid-eligible and uninsured residents across the county. In December 2024, Wake County established a dedicated Behavioral Health Department, a structural response to a more than 40% rise in emergency room visits for mental health and substance use concerns over the preceding five years.

WakeBrook, the county's flagship behavioral health campus in Raleigh, provides crisis stabilization and inpatient and outpatient behavioral health services; WakeMed assumed management of facility-based inpatient services there in late 2024.

Wake County has committed substantial public resources to the opioid crisis through national settlement agreements. The county will receive approximately $65.6 million from those settlements over 18 years, through 2039. Fiscal year 2025 allocations are directed toward expanding naloxone distribution, mobile medication-assisted treatment units, peer support staffing, and housing for people in early recovery.

The Wake County Recovery Court, a drug treatment court for adults whose criminal justice involvement stems from a substance use disorder, provides a structured path toward addiction treatment as an alternative to incarceration.

Two widely accessed community providers operate throughout Raleigh. SouthLight Healthcare is a nonprofit agency offering adult outpatient treatment, office-based opioid treatment, mobile MAT services, and family counseling; it accepts NC Medicaid and state-funded coverage and is a primary resource for uninsured residents.

Healing Transitions is a peer-run nonprofit providing free non-medical detox, long-term recovery programming, and emergency shelter for men and women with no insurance requirement. Like much of North Carolina, Wake County has felt the acute effects of the synthetic opioid supply, with county and state data showing that fentanyl-related overdose deaths drove most of the county's overdose burden through 2022, even as Wake County's rate remained consistently below the statewide average.

Cost of Rehab in Raleigh

Treatment costs in Raleigh generally track North Carolina state averages, which fall slightly below the national midpoint for residential care. The biggest variable is level of care: outpatient programs cost significantly less than residential stays, and medical detox is typically priced and billed separately from the broader treatment program that follows.

Verifying your insurance benefits before selecting a program is one of the most effective ways to understand your actual out-of-pocket cost. The figures below reflect North Carolina state-level averages from the National Center for Drug Abuse Statistics; individual facilities in Raleigh will vary.

Level of care — detox, inpatient, and partial hospitalization programs carry higher daily costs than standard outpatient services.
Program length — longer stays increase total cost, though per-week rates sometimes decrease with extended enrollment in residential programs.
Medications — MAT medications, psychiatric management, and additional medical services add to base program costs.
Facility type — standard clinical programs are priced considerably below specialty or luxury-amenity facilities.
Raleigh market — Raleigh's cost of living is above the North Carolina average, and some urban-area programs may price accordingly.
Insurance coverage — your plan's deductible, copay structure, and covered levels of care determine how much you pay out of pocket.

How to Pay for Rehab in Raleigh

Among the 40 treatment providers in the Raleigh area, the large majority accept more than one form of payment, giving most people at least one viable path to covering the cost of care.

Medicare

Medicare Part A covers medically necessary inpatient substance use treatment, including hospital-based detox, and Part B covers outpatient mental health and behavioral health services. People enrolled in Medicare Advantage plans receive at minimum the same core benefits, though specific coverage varies by plan. 11 facilities in the Raleigh area accept Medicare. For a breakdown of covered services and how to confirm your benefits before admission, see our guide to using insurance for rehab.

NC Medicaid

North Carolina Medicaid covers a broad range of substance use disorder services, including outpatient treatment, intensive outpatient programming (SAIOP and SACOT), social setting detox, and medication-assisted treatment with methadone, buprenorphine, and naltrexone.

Effective July 1, 2024, NC Medicaid introduced Behavioral Health and IDD Tailored Plans for people with severe substance use disorders, providing more integrated care coordination under a single plan. Wake County residents who are Medicaid-eligible or uninsured can reach Alliance Health at (800) 510-9132 to connect with a provider and receive a clinical screening. Seventeen facilities in the Raleigh area accept NC Medicaid.

Military Benefits

Active-duty service members, veterans, and eligible dependents may have treatment covered through TRICARE, and 8 facilities in Raleigh accept it. Veterans can also access substance use services directly through VA clinics in the area. Our guide to rehab resources for veterans and military families covers those options in more detail.

Insurance and Private Pay

Thirty-two facilities in Raleigh accept private health insurance. Major carriers with substantial networks in North Carolina include Blue Cross Blue Shield of NC, Aetna, Cigna, UnitedHealthcare, and Humana. Coverage for substance use treatment varies by plan, but the Mental Health Parity and Addiction Equity Act requires insurers to cover substance use disorder treatment on terms no more restrictive than medical or surgical coverage.

  • Blue Cross Blue Shield of NC
  • Aetna
  • Cigna
  • UnitedHealthcare
  • Humana

Other Low-Cost Options

Eight facilities offer sliding-scale fees that adjust costs based on income, and 15 offer some form of financial assistance. 4 provide financing arrangements for treatment costs not covered by insurance. Rehab scholarships are worth exploring for people who fall outside insurance and Medicaid eligibility; several national and North Carolina-specific scholarship programs exist specifically for substance use treatment.

Levels of Care Available in Raleigh

Raleigh's treatment network covers a full range of clinical levels, with particular depth in outpatient services and a solid residential base. The 16 detox facilities, 22 inpatient programs, and 33 outpatient clinics in the directory give most people meaningful choice within the level of care that fits their clinical situation.

Medical Detox

Medically supervised detox is typically the first step for people with physical dependence on alcohol, opioids, or benzodiazepines. The 16 medical detox programs in Raleigh provide 24-hour clinical supervision, monitoring for withdrawal complications, and in many cases, medication management to reduce withdrawal symptoms and lower the risk of serious adverse events. Detox alone does not constitute treatment; most programs provide a direct referral to the next level of care at discharge.

Inpatient Rehab

Inpatient rehab provides structured, live-in care that separates people from the environments and triggers associated with their substance use. The 22 residential programs in Raleigh typically run 28 to 90 days and combine individual therapy, group counseling, and practical skills development in a monitored setting. Residential treatment is generally recommended when outpatient care has not been sufficient, when the severity of use is high, or when the home environment does not support early recovery.

Partial Hospitalization

Partial hospitalization programs (PHPs) provide an intensive daily schedule, typically 5 to 6 hours per day, 5 or more days per week, without an overnight residential component. Raleigh has 1 partial hospitalization program, which is most commonly used as a step-down for people leaving inpatient care who still need structured daily programming before transitioning to standard outpatient treatment.

Standard Outpatient

With 33 outpatient programs, outpatient care is the most accessible level of treatment in Raleigh. Outpatient programs typically involve weekly or multi-weekly counseling and therapy sessions and allow people to continue living at home and maintaining work or family responsibilities during treatment.

This level works best for people with mild to moderate substance use concerns and a stable living situation. Several outpatient providers in Raleigh also offer intensive outpatient scheduling for people who need more clinical hours per week without the commitment of residential care.

Dual Diagnosis Programs

Twenty-four programs in the Raleigh directory are equipped to treat co-occurring substance use and mental health conditions, including anxiety disorders, depression, and PTSD. Treating both conditions within the same program, rather than sequentially, generally produces better outcomes for people whose substance use and mental health concerns are closely linked. Many of Raleigh's co-occurring programs incorporate evidence-based behavioral therapies including cognitive-behavioral therapy, dialectical behavior therapy, and motivational interviewing alongside medication management.

Specialty Programs in Raleigh

Many of the 40 facilities in Raleigh offer programming built around specific populations or clinical profiles. The counts below reflect how many programs in the directory are configured to serve each group.

Free and Low-Cost Rehab Resources in Raleigh

A range of publicly funded, nonprofit, and government-supported resources are available to Raleigh residents who need treatment but cannot afford it or lack insurance. Anyone in a mental health or substance use crisis can call or text 988 at any time, free of charge. For broader crisis support and suicide prevention resources, see our dedicated guide.

Crisis Lines

  • 988 Suicide and Crisis Lifeline — Call or text 988, 24/7. Free, confidential crisis support for mental health and substance use emergencies, available to anyone in the United States. https://988lifeline.org/
  • Alliance Health Behavioral Health Crisis Line — (877) 223-4617, 24/7. Wake County's primary behavioral health crisis line; mobile crisis response is available for acute situations in the home or community setting. https://www.alliancehealthplan.org/
  • SAMHSA National Helpline — (800) 662-4357, 24/7, free and confidential. Treatment referrals, information, and service navigation in English and Spanish. samhsa.gov  https://www.samhsa.gov/find-help/helplines/national-helpline

County Health and Managed Care Access

  • Alliance Health — (800) 510-9132, Monday through Saturday 7 a.m. to 6 p.m. The LME-MCO for Wake County, Alliance Health manages NC Medicaid behavioral health services and connects uninsured and underinsured residents to appropriate providers through a phone screening process. Access specialists are available during business hours; the crisis line above operates 24/7. alliancehealthplan.org.

Community and Nonprofit Providers

  • Healing Transitions (Men's Campus) — 1251 Goode St, Raleigh, NC 27603, (919) 838-9800. A peer-run nonprofit providing free non-medical detox (24/7), emergency shelter, and long-term recovery programming; no insurance required, no referral needed for detox. healing-transitions.org
  • Healing Transitions (Women's Campus) — 3304 Glen Royal Rd, Raleigh, NC 27617, (919) 838-9800. Free non-medical detox and long-term peer-based recovery programming for women; programs typically run 12 to 18 months. healing-transitions.org
  • SouthLight Healthcare — 2101 Garner Road, Suite 117, Raleigh, NC 27610. Community-based outpatient treatment, office-based opioid treatment, mobile MAT services, and family counseling; accepts NC Medicaid and offers sliding-scale fees for uninsured patients. https://southlight.org/

VA and Military Services

  • Raleigh II CBOC (Durham VA Healthcare System) — 3040 Hammond Business Place, Suite 105, Raleigh, NC 27603, (919) 899-6259. A community-based outpatient clinic offering substance use disorder intensive outpatient treatment for veterans; Monday through Friday, 8 a.m. to 4:30 p.m. https://www.va.gov/durham-health-care/
  • Veterans Crisis Line — Call or text 988, then press 1. Available 24/7 and free of charge; provides confidential crisis support and referrals for veterans and their families. https://www.veteranscrisisline.net/

Harm Reduction and Naloxone Access

  • NC Harm Reduction Coalition — Operates syringe services programs and distributes naloxone across Wake County. Naloxone is also available through Wake County's opioid settlement-funded distribution programs; current distribution sites are listed at wake.gov under the Drug Overdose Prevention Coalition. https://www.nchrc.org/
Drug and Alcohol Use Statistics in Raleigh

Wake County's substance use data reflects a crisis that accelerated sharply between 2019 and 2022, driven largely by the spread of illicitly manufactured fentanyl, and has shown meaningful statewide improvement since. County-level progress has been supported by expanded naloxone access, increased medication-assisted treatment, and opioid settlement investment. For national substance use and overdose statistics in context, see our broader data resource.

Medical reviewer

Libby Pelligrini, MMS, PA-C

Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…

Read bio

Physician Assistant & Medical Writer. Read bio

Author

Nikki Seay, LPN, BS

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,…

Read bio

Addiction & Mental Health Author. Read bio

Sources Sources (12)
  1. Wake County Government. (December 2024). Wake County establishes behavioral health department. .
  2. Wake County Government. (2024). WakeBrook Behavioral Health Campus.
  3. Wake County Government. (2024). National Opioid Settlement.
  4. CBS17 / The News and Observer. (February 2025). Recent Wake County drug bust sheds light on drug epidemic; cites Wake County opioid settlement manager on 2022 opioid death total. cbs17.com.
  5. NCDHHS Division of Public Health, Injury and Violence Prevention Branch. (2023). 2022 Wake County Drug Overdose Integrated Epidemiologic Profile. NCDHHS.
  6. NCDHHS. (2025). Fentanyl-related and overall overdose death decline reported for North Carolina, 2023 to 2024. Reported by ABC11 Raleigh-Durham. abc11.com.
  7. USAFacts / Centers for Disease Control and Prevention. (2025). How many drug overdose deaths happen every year in North Carolina? usafacts.org.
  8. NCDHHS Division of Public Health. (2025). North Carolina Overdose Epidemic Data. dph.ncdhhs.gov.
  9. Addiction Resource. (2026). Average Cost of Addiction Treatment in North Carolina. addictionresource.net.
  10. National Center for Drug Abuse Statistics, via addicted.org. (2025). Cost of Drug and Alcohol Rehab in North Carolina. addicted.org.
  11. NC DHHS. (2024). Substance Use Disorders. ncdhhs.gov.
  12. NC Medicaid. (August 2024). NC Medicaid Increasing Reimbursement Rates for SAIOP and SACOT. medicaid.ncdhhs.gov.

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