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.
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…
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, 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…
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…
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 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…
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…
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 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 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 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 – 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…
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 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 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 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 is a rehab located in Raleigh, North Carolina. Unc Health Care Alcohol And Drug Detoxification Unit At Wakebrook specializes in the treatment of addiction.
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…
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…
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 is a rehab located in Raleigh, North Carolina. North Carolina Recovery Support Services specializes in the treatment of addiction.
Arbor Counseling Shepherd Fountain is a rehab located in Raleigh, North Carolina. Arbor Counseling Shepherd Fountain specializes in the treatment of addiction.
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.
She partnered with Addiction Professionals of North Carolina to open a recovery high school in Raleigh. The school provides an accredited education course, as well as substance abuse treatment and certified drug counselors. Recovery schools are designed to be part of a step-down program for teens in recovery after completing a 30-day inpatient addiction treatment program.
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.
$1,750–$5,600
Typical cost of a 7-day medical detox stay in North Carolina, depending on level of clinical oversight and facility type — Addiction Resource / National Center for Drug Abuse Statistics, 2025.
$56,759
Average total cost of residential inpatient treatment in North Carolina per person — National Center for Drug Abuse Statistics, 2025.
$1,703
Average total cost of a standard outpatient program in North Carolina per person — National Center for Drug Abuse Statistics, 2025.
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.
35 accept self-payment or cash
32 accept private health insurance
17 accept NC Medicaid
11 accept Medicare
8 offer sliding-scale fees
15 offer financial assistance
8 accept TRICARE
4 offer financing
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.
16 medical detox facilities
22 inpatient rehab programs
1 partial hospitalization program
33 standard outpatient clinics
24 dual diagnosis programs
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.
24 Women's Programs
Programs designed for women often address gender-specific trauma, co-occurring mood disorders, and family and parenting concerns within an integrated treatment setting.
25 Men's Programs
Men's programs typically incorporate peer group formats and address co-occurring issues including anger management, occupational stress, and legal concerns common in male patient populations.
4 LGBTQ+ Friendly Programs
These programs provide LGBTQ+ affirming addiction care in settings that recognize identity-based stressors and discrimination-related barriers that can contribute to substance use and complicate recovery.
5 Veterans & Military Programs
These programs address substance use in the context of military service, including trauma, transition challenges, and co-occurring conditions such as PTSD that are common among service members and veterans.
25 Young Adult Programs
Raleigh's young adult programs often serve college students and recent graduates managing young adult and college student substance use, particularly relevant in a metro area home to NC State University and several other institutions.
8 Programs for Older Adults
Programs for older adults address age-specific concerns including polypharmacy, social isolation, and the interaction between substance use and chronic health conditions.
28 Alcohol Rehab Programs
With 28 programs addressing alcohol use disorder, Raleigh has strong options across levels of care, from brief outpatient counseling through residential stabilization.
20 Opioid Rehab Programs
These programs treat opioid use disorder, including heroin and synthetic opioid dependence, typically combining medication-assisted treatment with behavioral counseling.
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/
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.
241
Opioid overdose deaths in Wake County in 2022 — N.C. Department of Health and Human Services, reported by Wake County Government opioid settlement documentation, 2024.
779
Unintentional poisoning deaths in Wake County from 2017 to 2021, a 15.6% increase over the prior five-year period — NCDHHS Division of Public Health, 2023.
Involve fentanyl
71%
Of North Carolina drug overdose deaths in 2024 involved fentanyl and other synthetic opioids — CDC data via USAFacts, 2025.
Overdose decline
34%
Drop in North Carolina drug overdose deaths from 2023 to 2024, the first sustained statewide decline since 2019 — NCDHHS, 2025.
ER visits up
40%
Increase in Wake County emergency room visits for mental health and substance use treatment over the five years through 2024, per the county's own behavioral health reporting — Wake County Government, December 2024.
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…
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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