Compare 29 addiction treatment centers in and around Wilmington, 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
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
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…
7349 Statesville Road · Charlotte, NC 28269Charlotte, NC 28269
Charlotte · Detox, Inpatient, Outpatient
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…
2123 Hendersonville Rd · Concord, NC 28704Concord, NC 28704
Concord · Detox, Inpatient, Outpatient
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
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
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
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…
2520 Troy Drive · Wilmington, NC 28401Wilmington, NC 28401
Wilmington · Detox, Inpatient, Outpatient
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
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
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
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
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…
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Brighter Start Health - Wilmington |
5710 Oleander Drive Suite 100, Wilmington, NC 28403 |
Based in beautiful Wilmington, North Carolina, Brighter Start Health is an accredited drug rehab facility that prioritizes client comfort and safety above all else. Using therapeutic and medical care to drive effective results, its comprehensive addiction treatment services are available to clients aged 18 and older and their families. Partial Hospitalization Program in New Hanover County If you’re in need… |
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Wilmington Treatment Center |
2520 Troy Drive, Wilmington, NC 28401 |
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 opportunity to work through addiction treatment with a team of highly experienced and specialized staff by your side. Services include… |
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A Helping Hand of Wilmington |
5013 Wrightsville Avenue, Wilmington, NC 28403 |
A Helping Hand in Wilmington, North Carolina provides mental health and substance use therapy for adults. The practice treats addiction, trauma, anxiety, depression, dual diagnosis and relationship issues. Their team blends licensed addiction specialists with trauma-informed care meeting clients wherever they are in their recovery journey. Trauma-Informed Substance Use Treatment The practice focuses on personalized substance use therapy delivered through… |
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Christian Recovery Houses |
5002 Oleander Drive, Wilmington, NC 28403 |
Christian Recovery Houses is a faith based sober living provider in Wilmington, North Carolina offering structured recovery residences for adults seeking a Christ centered path to sobriety. The mission centers on recovery through Jesus Christ combining sober living structure with mentorship and church involvement as well as community life. Faith Based Sober Living Programs Residents enter through a 30 minute… |
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Coastal Horizons Center |
615 Shipyard Boulevard, Wilmington, NC 28412 |
Coastal Horizons Center is a nonprofit addiction treatment center in Wilmington, North Carolina offering outpatient substance use care and medication for opioid use disorder with integrated behavioral health services. Coastal Horizons combines evidence based treatment with psychiatric care, peer support, and community resources to support whole person recovery. Clinica Latina and DWI Services Care typically begins with a confidential assessment… |
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Delta Behavioral Health |
1606 Physicians Drive Suite 104, Wilmington, NC 28401 |
Delta Behavioral Health in Wilmington, North Carolina offers integrated addiction and mental health care for adults and young adults. Operating as a collocated group of independent providers, Delta is built around compassionate care that helps clients build a life worth living. Integrating Substance Use and Mental Health Delta's core specialty is Intensive Outpatient and Partial Hospitalization programming with an integrated… |
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Wilmington VA Clinic |
1705 Gardner Road, Wilmington, NC 28405 |
Wilmington VA Clinic is a veteran focused outpatient substance use treatment and mental health provider in Wilmington, North Carolina operating as part of the VA Fayetteville Coastal Health Care system. Its mission centers on integrated confidential and accessible care designed specifically for the unique needs of veterans. Outpatient Addiction Treatment for Veterans Care typically begins with a mental health consultation… |
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New Hanover Regional Medical Center |
2131 South 17th Street, Wilmington, NC 28401 |
New Hanover Regional Medical Center, part of the Novant Health system, is a Wilmington hospital offering behavioral health services for southeastern North Carolina. Its on-campus center provides short-stay psychiatric crisis stabilization with access to substance abuse counselors, psychiatric care and co-occurring disorders support. The program focuses on safe, medically supervised stabilization that helps patients move from crisis toward a clear… |
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New Season New Hanover Metro Treatment Center |
1611 Castle Hayne Road Building C, Wilmington, NC 28401 |
New Season Treatment Center provides outpatient opioid treatments. One of their facilities is in Wilmington, North Carolina. I like that all of their services fall within one affordable fee. You can get medication assisted treatment and counseling at this clinic. The options include Suboxone, buprenorphine or methadone. You'll also take part in individual, group and family counseling. You'll be treated… |
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Stepping Stone Manor |
416 Walnut Street, Wilmington, NC 28401 |
Stepping Stone Manor is a men’s halfway house run by Port Health. It’s located in Wilmington, North Carolina. This sober residence is comfortable and well equipped to feel like home. It’s located in a residential neighborhood. If you want to live here, you must be screened to make sure you’d be a good fit for the home. Men over 18… |
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Wilmington Treatment Center Outpatient |
1524 Harbour Drive, Wilmington, NC 28401 |
Wilmington Treatment Center Outpatient is a drug and alcohol rehab in Wilmington, North Carolina, providing intensive outpatient care for adults with substance use and cooccurring mental health disorders. Located at 1524 Harbour Drive, this dedicated outpatient site serves both as step down care after higher levels of treatment and as a stand alone option for adults whose needs can be… |
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Port Health Wilmington Clinic |
2206-A Wrightsville Avenue, Wilmington, NC 28403 |
Port Health Wilmington Clinic is an outpatient addiction treatment center in Wilmington, North Carolina offering substance use and mental health care for adolescents and adults. The program emphasizes whole person and evidence based care delivered with dignity and respect. Medication Assisted Treatment and Psychoeducation Treatment begins with a comprehensive assessment to determine the most appropriate level of outpatient care. Clients… |
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Drug and Alcohol Assessment Services |
3961-A Market St, Wilmington, NC 28403 |
Drug and Alcohol Assessment Services is a North Carolina licensed provider in Wilmington specializing in substance use assessments and education tied to DWI/DUI, DMV and DOT compliance requirements. The team offers state-approved evaluations, education and outpatient treatment for individuals navigating legal, licensing or employment-related obligations. With a focus on confidentiality, flexible scheduling and the least restrictive level of care the… |
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Launch Pad |
5001 Wrightsville Ave, Wilmington, NC 28403 |
Launch Pad is a recovery housing provider offering gender-specific sober living homes for men and women working toward lasting sobriety in Wilmington, North Carolina. The program supports individuals in alcohol and drug recovery through structured housing, skills building and a community-driven environment. Launch Pad emphasizes whole-person recovery, supporting residents across mental, emotional, physical and spiritual dimensions of healing. Gender-Specific Sober… |
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Reflections of Hope LLP - Dr. Luke Sampson MD |
33 Darlington Ave, Wilmington, NC 28403 |
Reflections of Hope LLP, led by Dr. Luke Sampson, MD, is an outpatient addiction treatment provider in Wilmington, North Carolina, specializing in medication-based care for opioid use disorder. The program combines outpatient counseling, MAT, telehealth options, and wraparound recovery support. The team focuses on comprehensive care for individuals managing substance use and cooccurring concerns. What addiction treatment programs are offered… |
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Tree House Recovery NC |
1118 N 4th St, Wilmington, NC 28401 |
Tree House Recovery NC is a holistic addiction treatment center in Wilmington, North Carolina offering outpatient drug and alcohol rehab for adults seeking lasting recovery. The center's approach blends evidence based therapy and physical fitness with life skills training to address mind, body, and emotional wellbeing. Holistic Outpatient Treatment and Evening Programs Treatment typically begins with an admissions assessment to… |
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Triad Behavioral Resources Wilmington |
201 N. Front Street, Wilmington, NC 28401 |
Triad Behavioral Resources offers virtual substance abuse and mental health treatments. They’re located in Wilmington, North Carolina but offer services to clients anywhere in the country. You can get support through their network of behavioral health experts. I like that they offer a fully virtual program. This keeps the cost down for self-pay clients. They also accept all commercial health… |
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Wilmington Recovery |
3975 A Market St, Wilmington, NC 28403 |
Wilmington Recovery is a structured sober living and recovery housing program in Wilmington, North Carolina offering supportive residences for adults working to overcome substance use disorder. They emphasize a home like and community driven environment designed to help members build stability and long term sobriety in early recovery. Recovery Housing with 12 Step Support Members typically begin with a telephone… |
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Capeside Psychiatry |
311 Judges Rd #4E, Wilmington, NC 28405 |
Capeside Psychiatry in Wilmington, North Carolina is an outpatient psychiatry and substance use treatment provider offering integrated mental health and addiction care for children, adolescents and adults. Services include comprehensive psychiatric evaluations, individual and family counseling, medication management, substance abuse group therapy and medication assisted treatment. The practice emphasizes trauma informed, LGBTQIA+ affirmative care that supports the whole person and… |
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Partial Hospital at Delta |
1606 Physicians Dr, Wilmington, NC 28401 |
Partial Hospital at Delta, also known as Delta Behavioral Health is an addiction treatment center in Wilmington, North Carolina. The center specializes in intensive behavioral health services for adults 18 and older. The facility offers programs with integrated care for co-occurring substance use and mental health disorders. Delta's approach centers on therapies and other treatments coordinated under one roof. The… |
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Family Works Psychological Center Wilmington |
2002 Eastwood Road Suite 305, Wilmington, NC 28480 |
Family Works Psychological Center Wilmington is a rehab located in Wilmington, North Carolina. Family Works Psychological Center Wilmington specializes in the treatment of addiction. |
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Leading Into New Communities |
222 Division Drive, Wilmington, NC 28401 |
Leading Into New Communities is a rehab located in Wilmington, North Carolina. Leading Into New Communities specializes in the treatment of addiction. |
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NHC Local Reentry Council LINC |
801 Princess Street Ste.103, Wilmington, NC 28401 |
NHC Local Reentry Council LINC is a rehab located in Wilmington, North Carolina. NHC Local Reentry Council LINC specializes in the treatment of addiction. |
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Physician Alliance for Mental Health |
3208 Oleander Drive, Wilmington, NC 28403 |
Physician Alliance for Mental Health is a rehab located in Wilmington, North Carolina. Physician Alliance for Mental Health specializes in the treatment of addiction. |
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Kelly House Program |
1507 Martin Street, Wilmington, NC 28401 |
Kelly House Program is a rehab located in Wilmington, North Carolina. Kelly House Program specializes in the treatment of addiction. |
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Treatment centers in nearby cities, closest to Wilmington first. Filter by insurance, level of care, and who the program is designed for.
Frequently asked questions
Every facility on this page is scored using the same objective framework we apply across all rehab centers nationwide. We assign each listing a Rehab Score built from operational data, verified client feedback and trust signals such as accreditation status and licensing. Facilities that carry independent accreditation, publish transparent program information and maintain strong satisfaction records rank higher than those that do not.
We do not sell placement in our organic rankings. Sponsored listings, when present, are labeled as advertisements and kept visually separate from scored results. Our goal is to help you compare programs in Wilmington on the factors that matter most: quality of care, level of service, payment flexibility and accountability. You can use the filters above to narrow results by level of care, payment type and specialty program.
Wilmington is the seat of New Hanover County and the largest city in southeastern North Carolina, anchoring a coastal metro that also draws people seeking care from neighboring Brunswick and Pender counties. Our directory lists 29 treatment facilities in and around the city, spanning medical detox, residential care and community outpatient clinics. If you are comparing options across the wider region, you can also browse the full North Carolina rehab directory for programs beyond the immediate Wilmington area.
Behavioral health services for Medicaid members and uninsured residents in New Hanover County are coordinated through Trillium Health Resources, the regional managed care organization and Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan.
Trillium operates a statewide Access to Care line and a mobile crisis team that can meet someone in crisis at home, at work or in the community. Coastal Horizons Center is one of the largest local providers, running outpatient treatment, a syringe services program and the county Quick Response Team that follows up with overdose survivors and their families.
The opioid supply in New Hanover County remains dominated by illicitly manufactured fentanyl, which now drives the majority of fatal overdoses statewide. According to the North Carolina Division of Public Health, a projected 174 emergency room visits will be attributed to drug overdoses in New Hanover County in 2026.
Although that number is much higher than it should be, that is a projected 24% decrease from the prior year. This context shapes the treatment landscape locally, with several Wilmington programs offering opioid use disorder care and medication-assisted treatment through buprenorphine and methadone providers.
Wilmington also has a range of programs that offer addiction treatment options for co-occurring mental health conditions, which matter because roughly one in four North Carolinians who die of an overdose also live with a diagnosed mental health disorder. When you contact a facility, ask whether it screens for and treats depression, anxiety and trauma alongside substance use.
Treatment costs in Wilmington vary widely by level of care, program length, and whether you use insurance.
North Carolina ranks 28th nationally for treatment affordability, with an average residential program cost of about $56,759, slightly below the national average of $57,193. The figures below reflect statewide averages by level of care and are useful as a planning baseline. Because Wilmington sits in a higher cost-of-living coastal metro, local residential pricing may run at or above these state averages, especially at facilities with more amenities.
Insurance changes these numbers substantially. Most people pay a fraction of the sticker price once private coverage, Medicaid or Medicare is applied, and many Wilmington programs offer sliding-scale fees or financial assistance for those who qualify. Verifying your benefits before you enroll is the single most useful step you can take to understand your real out-of-pocket cost.
You can review how using insurance for rehab works and what questions to ask before committing to a program.
Across the 29 facilities listed in Wilmington, most accept several payment methods, which means cost does not have to be the barrier that keeps you from care. Self-payment is the most widely accepted option, and a strong majority of programs also work with private insurance. Public coverage through Medicaid and Medicare is accepted by a meaningful share of local facilities, and a smaller group offers sliding-scale pricing or dedicated financial assistance.
Medicare covers medically necessary addiction treatment for eligible adults 65 and older and for some younger people with qualifying disabilities. Coverage typically includes inpatient care, outpatient services and prescribed medications used in treatment. Nine Wilmington-area facilities accept Medicare. Because coverage rules and copays depend on your specific plan, confirm what a facility bills before you enroll and ask whether the program is enrolled as a Medicare provider for the level of care you need.
In New Hanover County, Medicaid behavioral health benefits are managed by Trillium Health Resources through the Behavioral Health and I/DD Tailored Plan and NC Medicaid Direct. Twelve local facilities accept NC Medicaid. Covered services include substance use disorder treatment, counseling and medication-assisted treatment such as buprenorphine and methadone. If you are unsure which plan you have, your Medicaid ID card will show it, and Trillium's Access to Care line at 877-685-2415 can help you find an in-network provider.
Eight Wilmington facilities accept TRICARE, the health program serving active-duty service members, retirees and their families. Given the region's proximity to Marine Corps Base Camp Lejeune and other military communities in eastern North Carolina, several programs are experienced in treating service members and veterans. Veterans can also access care through the VA, and the veterans and military programs listed in the specialty section below can help you find affirming, benefits-eligible care.
Twenty Wilmington facilities accept private health insurance, and 27 accept self-payment. Under federal parity law, most private plans must cover substance use treatment comparably to other medical care, though your out-of-pocket cost depends on your deductible, copays and whether the facility is in-network. If you are paying privately, ask each program about its total cost, refund policy and whether it offers a payment plan.
Ten Wilmington facilities offer financial assistance, four use sliding-scale fees tied to income and two offer financing. Sliding-scale pricing can bring the cost of outpatient care down significantly for people who are uninsured or underinsured. Ask about eligibility at intake, since documentation of income is usually required.
While no facility in the current Wilmington listings is flagged as fully free, state-funded behavioral health services are available to uninsured and underinsured residents through Trillium Health Resources, and community providers such as Coastal Horizons offer reduced-cost care. Scholarship funding can also close the gap for some people. Learn how rehab scholarships work and who qualifies.
Major insurance carriers active in the Wilmington market include:
Wilmington offers a full continuum of care, from medically supervised detox through long-term outpatient support. Local counts include 17 detox programs, 18 inpatient rehab programs and 26 outpatient clinics, along with dual diagnosis care for co-occurring conditions. The right starting point depends on the severity of the substance use, physical health, and home environment.
Medical detox provides supervised withdrawal management, often the first step for people with opioid, alcohol or benzodiazepine dependence. Because withdrawal from some substances can be dangerous, supervised detox in a medical setting is safer than attempting to stop alone.
Inpatient rehab offers structured, live-in treatment with 24-hour support, typically running 30 to 90 days. This setting suits people with more severe substance use or unstable home environments. Read more about what residential treatment involves.
Partial hospitalization delivers intensive daytime treatment while the person returns home in the evening, bridging inpatient and outpatient care. Wilmington has three partial hospitalization programs.
Outpatient and intensive outpatient programs let people continue working or caring for family while attending scheduled treatment sessions. With 26 standard outpatient clinics locally, outpatient rehab is the most widely available level of care in the city.
Dual diagnosis programs treat substance use and co-occurring mental health conditions together, which is important given how often co-occurring depression and anxiety accompany addiction.
Medication-assisted treatment combines FDA-approved medications with counseling and is offered by several Wilmington buprenorphine and methadone providers as part of MAT for opioid use disorder. Aftercare and continuing care planning, including the city's two sober living homes, help protect progress after a program ends.
Many Wilmington facilities tailor treatment to specific populations and substance types. Local listings include strong coverage for alcohol and opioid treatment, gender-specific programming and young adult services, along with a smaller set of programs for veterans and LGBTQ+ clients. Matching a program to your identity, background and primary substance can improve comfort and engagement in treatment.
Alcohol remains the most commonly treated substance locally, and programs addressing alcohol use disorder are the most widely available specialty. Opioid-focused care is close behind, reflecting the county's fentanyl-driven overdose burden and the demand for treatment of opioid use disorder. Wilmington's four veterans and military programs connect service members and their families to rehab resources for veterans and military and three programs offer LGBTQ+ affirming addiction care.
Men's and women's gender-specific tracks are widely available for people who prefer a single-gender treatment environment.
Beyond the facilities listed above, New Hanover County has a network of public and nonprofit resources that provide crisis support, harm reduction, and connections to treatment at little or no cost. The organizations below serve Wilmington residents directly.
New Hanover County has carried one of the heavier overdose burdens in southeastern North Carolina, driven overwhelmingly by illicitly manufactured fentanyl. County EMS recorded hundreds of overdose responses per year in recent years, and while statewide data has shown early signs of decline, fentanyl continues to account for the majority of opioid deaths. The figures below reflect the most recent verified county and state data available.
Statewide trends provide additional context for the local picture. Fentanyl is now the leading substance found in North Carolina overdose deaths, and mental health conditions frequently co-occur with fatal overdoses.
These patterns underscore why access to medication-assisted treatment, naloxone and dual diagnosis care matters locally. For national comparison and trend data, see our overview of national substance use statistics, and for treatment of the substance most reflected in this data, review our guide to fentanyl addiction and overdose risk.
Editor
Cary Damerow, BA, LPN
With more than 30 years of experience as an LPN, Cary holds a BA in Liberal Arts and is currently pursuing her Master’s degree with an emphasis on public health policy. Throughout her career, she has dedicated herself to improving…
Read bioWith more than 30 years of experience as an LPN, Cary holds a BA in Liberal Arts and is currently pursuing her Master’s degree with an emphasis on public health policy. Read bio
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