Compare 30 addiction treatment centers in and around Winston Salem, 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…
Addiction Recovery Care Association (ARCA) is a nonprofit drug and alcohol rehab in Winston Salem, North Carolina, providing professional, family focused recovery services for adults with substance use disorders. Established in 1969, ARCA offers a continuum of care that includes nonhospital medical detoxification, residential treatment, family services and aftercare planning with step down referrals to outpatient care. Its mission emphasizes…
650 Highland Avenue Suite 100, Winston Salem, NC 27101
Inpatient
Daymark Recovery Services Forsyth Center provides substance abuse intensive outpatient treatment in Winston Salem, North Carolina. While the nonprofit center delivers a broad continuum, its Substance Abuse Intensive Outpatient Program (SAIOP) stands as a central focus. The program is designed to help clients build lasting recovery without stepping away from daily responsibilities. MAT with Suboxone The SAIOP at Daymark Recovery…
Novant Health Forsyth Medical Center in Winston Salem, North Carolina offers hospital connected behavioral health services, including intensive outpatient addiction treatment for adults and young adults. As part of the broader Novant Health system, the medical center supports a full continuum of care including inpatient behavioral health, partial hospitalization and outpatient substance use programming, with intensive outpatient treatment serving as…
Insight Human Services is an outpatient addiction treatment center in Winston-Salem, North Carolina with its office on West 4th Street. They treat adolescents and adults for substance use disorders alongside co-occurring mental health conditions, and pregnant and parenting women have a program of their own. The organization started here in 1970 as the Council on Drug Abuse, formed to address…
Twin City Counseling Center is an established provider of outpatient addiction treatment in Winston Salem, North Carolina. The center offers structured outpatient programming alongside assessments and educational services, with outpatient care serving as the cornerstone of its model. Since 1978, the center has helped clients across the Piedmont Triad meet legal requirements while building a foundation for lasting recovery. CBT…
Wake Forest Baptist Health is located in Winston Salem, North Carolina. They offer counseling for a range of behavioral health needs. They treat depression, substance abuse, gambling, schizophrenia and much more. You’ll have access to therapy sessions in various formats. Individual, couples, and family sessions may all benefit you. Wake Forest Baptist Health also offers cutting-edge brain treatments. These can…
1617 South Hawthorne Road, Winston Salem, NC 27103
Detox
Outpatient
Medicaid
Private insurance
Winston Salem Comprehensive Treatment Center is a medication assisted treatment provider in Winston Salem, North Carolina, specializing in outpatient addiction treatment for adults with opioid use disorder. The center combines FDA approved medications with individual and group counseling to address the physical, behavioral and psychological aspects of opioid addiction. As a CARF accredited opioid treatment program, the facility emphasizes individualized,…
Advancing Forward Health is an addiction treatment provider focused on medically managed recovery from opioid use disorder in Winston-Salem, North Carolina. The clinic blends medications, counseling and personalized care planning, offering a flexible alternative to traditional residential rehab for people balancing work, school or family responsibilities. Customized Treatment Plans Advancing Forward Health provides outpatient addiction treatment built around medical assessments,…
Old Vineyard Behavioral Health Services in Winston-Salem, North Carolina is a behavioral health and substance use treatment provider offering integrated care for mental health and co-occurring addiction concerns. The 164 bed campus delivers a full continuum of care including inpatient hospitalization, detox access when clinically appropriate, partial hospitalization and intensive outpatient, outpatient services and telehealth. The program emphasizes evidence based,…
Addiction Recovery Care Association on Felicity Circle in Winston Salem, North Carolina is a nonprofit provider offering residential addiction treatment as part of a broader Winston-Salem recovery network. While ARCA delivers a full continuum of care including non hospital medical detox, outpatient services and aftercare planning, its residential treatment program is a central focus of the organization. ARCA's family focused…
Monarch Winston-Salem in Forsyth County, North Carolina provides substance use disorder treatment, outpatient therapy and medication management. The team supports adults and families navigating addiction to alcohol, tobacco, opioids, and other substances alongside co-occurring mental health concerns. Monarch's approach connects addiction care to a broader continuum of behavioral health services helping clients build stability across every part of recovery. Outpatient…
Crossnore Communities for Children-WS is a rehab located in Winston Salem, North Carolina. Crossnore Communities for Children-WS specializes in the treatment of addiction.
The Fellowship Home of Winston Salem is a rehab located in Winston Salem, North Carolina. The Fellowship Home of Winston Salem specializes in the treatment of addiction.
New Leaf Adolescent Care Winston Salem is a rehab located in Winston Salem, North Carolina. New Leaf Adolescent Care Winston Salem specializes in the treatment of addiction.
7830 North Point Boulevard Suite 201, Winston Salem, NC 27106
Outpatient
Medicaid
Private insurance
Triad Therapy Winston Salem is a rehab located in Winston Salem, North Carolina. Triad Therapy Winston Salem specializes in the treatment of addiction.
Winston Psychiatric Associates is a rehab located in Winston Salem, North Carolina. Winston Psychiatric Associates specializes in the treatment of addiction.
Amos Cottage Pediatric Development and Behavior is a rehab located in Winston Salem, North Carolina. Amos Cottage Pediatric Development and Behavior specializes in the treatment of addiction.
1010 West Northwest Boulevard, Winston Salem, NC 27101
Detox
Inpatient
Outpatient
Medicaid
Private insurance
Daymark Recovery Services Forsyth NW Center is a rehab located in Winston Salem, North Carolina. Daymark Recovery Services Forsyth NW Center specializes in the treatment of addiction.
OSA Assessments& Counseling Services Inc. is a rehab located in Kernersville, North Carolina. OSA Assessments& Counseling Services Inc. specializes in the treatment of addiction.
OSA Assessment and Counseling Services is a rehab located in Kernersville, North Carolina. OSA Assessment and Counseling Services specializes in the treatment of addiction.
1695 Kernersville Medical Parkway, Kernersville, NC 27284
Outpatient
Private insurance
Kernersville VA Clinic located in Kernersville, North Carolina, offers behavioral health services to Veterans. Their programming is provided on an outpatient basis. If an individual is struggling with addiction, they may need a referral to an alcohol and drug rehab facility. If dual diagnosis is present, and addiction can be treated on an outpatient basis, mental health and substance use…
Daymark Recovery Services Stokes Center in King, North Carolina, provides addiction recovery services for adults. They also offer services for children and adolescents, like in home and day treatment programs. Intensive outpatient services for adults include medication assisted treatment and counseling for co occurring mental health struggles. School aged children can access day treatment for co occurring substance use and…
Evelation Life Counseling Center in High Point, North Carolina offers detox, residential, and outpatient care for substance use disorder. The program supports adults, teens and gender-specific tracks for men and women with services addressing alcohol addiction, substance abuse, and co-occurring mental health concerns. Evelation Life is built around compassionate, whole-person recovery in a small, home-like setting that feels more like…
Youth Haven Services Stokes County is a rehab located in Walnut Cove, North Carolina. Youth Haven Services Stokes County specializes in the treatment of addiction.
Family Service of the Piedmont is located in High Point, North Carolina. Their Slane Center provides comprehensive care to children, adults, and families who have been touched by a mental health struggle or a substance use disorder. Care is offered in an outpatient setting with a specialized program for children, and substance abuse counseling services to men and women. There…
No centers match all of these filters.
Rehab centers in cities near Winston Salem
Treatment centers in nearby cities, closest to Winston Salem first. Filter by insurance, level of care, and who the program is designed for.
We all know the Covid pandemic had a negative impact on society, but as more and more data comes in – specifically data that relates to the lockdowns – it is undeniable that drug addiction took hold of far more people than we anticipated.
I can remember reading a news article in 2020 about Cheryl Wilson, a Winston-Salem mother whose son died from a fentanyl overdose during the lockdowns. I can also remember thinking that the isolation would be as hard for his mother as it was for him.
The CDC now believes, in the first 12 months of the lockdowns, more than 100,000 Americans died from drug overdoses. Now that we know the number of deaths, I can’t help but to think that the isolation forced upon us during lockdowns is a main culprit for the rise of addiction and fatal overdoses.
One of the main reasons we start using drugs is because we’re running from something – we want to avoid emotions that cause us pain or discomfort. During active addiction, being forced to remain stationary and alone for extended periods of time can be a recipe for disaster.
Addictions.com organizes Winston-Salem rehab listings to make comparison straightforward, not to sell a single facility. Listings draw on data from the Substance Abuse and Mental Health Services Administration (SAMHSA), accrediting bodies including the Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF), state licensing records, and facility-reported details.
When you browse programs on this page, a few factors shape what you see:
Accreditation and state licensing status, which signal that a facility meets recognized standards of care
Levels of care offered, from medical detox through outpatient and aftercare
Payment options accepted, including Medicaid, Medicare, private insurance, and self-pay
Specialty programming for specific populations, such as women, men, older adults, and young adults
We do not guarantee outcomes, and a listing is not an endorsement. Use these details as a starting point, then verify current availability, cost, and insurance directly with any facility before you enroll.
Rehab in Winston-Salem: What to Know
Winston-Salem is the seat of Forsyth County and anchors the western side of the Piedmont Triad, the three-city region it shares with Greensboro and High Point. The North Carolina rehab directory lists treatment options statewide, and within Winston-Salem you can compare 20 facilities spanning detox, residential, and outpatient care.
That mix means most people can find addiction treatment options without leaving the county, though the right fit still depends on the level of care and payment method you need.
Forsyth County's behavioral health response is coordinated through county Behavioral Health Services and delivered largely by community providers, hospital systems including Novant Health and Atrium Health Wake Forest Baptist, and nonprofit organizations.
Insight Human Services, a long-running nonprofit headquartered downtown on West 4th Street, provides residential and outpatient care and receives public and United Way funding, which makes it a common entry point for residents without private insurance.
One local resource worth knowing about is Unseen Patterns, an interactive overdose-tracking map the county launched to show where overdoses happen across Forsyth ZIP codes and where residents can find free naloxone.
The county reported responding to 1,741 overdose calls in 2024, up from 1,583 the year before, and county officials have flagged a sharp rise in alcohol-involved overdose calls and in cases affecting young people.
Because two major drug-trafficking corridors, U.S. 52 and Interstate 40, run through the county, fentanyl and other opioids remain a significant driver of local overdose activity. If opioids are the primary concern for you or a loved one, it helps to understand fentanyl addiction and overdose risk and the medication options available before you choose a program.
Cost of Rehab in Winston-Salem
There is no single price for rehab in Winston-Salem. What you pay depends on the level of care, the length of the program, and whether you use insurance. Statewide averages for North Carolina give a useful starting point for setting expectations, since city-specific pricing is not consistently published.
$153,932
Medical detox is the most expensive level of care, averaging $153,932 statewide in North Carolina.
$54,086
Long-term inpatient rehab in North Carolina costs an average of $54,086.
$8,322
Outpatient addiction treatment in North Carolina averages $8,322.
$7,394
Outpatient methadone treatment is the most affordable option, averaging $7,394.
These figures reflect the full range from the most intensive medical care to lower-intensity outpatient options. Because Winston-Salem sits in a mid-sized metro rather than a high-cost coastal market, local prices tend to track close to these North Carolina averages rather than running well above them.
Rather than fixating on a single sticker price, weigh cost against the level of care that matches your situation, and remember that using insurance for rehab can substantially lower what you actually pay out of pocket. Several factors move the final cost up or down:
Level of care detox and inpatient cost more than outpatient
Length of program 30, 60, or 90 days
Insurance coverage and network status
Amenities and program intensity
Sliding-scale fees or financial assistance
How to Pay for Rehab in Winston-Salem
Across the 20 facilities listed in Winston-Salem, several payment pathways are available, including self-pay, private insurance, Medicaid, and Medicare. The mix below shows how many local programs accept each option, which can help you narrow your search before you start calling.
18 accept self-payment or cash
15 accept private health insurance
9 accept North Carolina Medicaid
3 accept Medicare
6 offer financial assistance
4 offer sliding-scale fees
4 accept TRICARE
1 accepts Employee Assistance Programs
Coverage details vary from one program to the next, so confirm your specific plan and any prior-authorization requirements directly with the facility before you enroll.
Medicare
Medicare covers medically necessary addiction treatment for eligible older adults and people with qualifying disabilities, including inpatient care, outpatient services, and certain medications.
Three Winston-Salem facilities accept Medicare. Coverage rules, copays, and network requirements differ by plan, so review your plan's addiction treatment benefits carefully before you commit to a program.
Medicaid
Nine local facilities accept North Carolina Medicaid, which covers substance use treatment across levels of care under NC Medicaid Managed Care. People with more intensive behavioral health needs may be served through a Behavioral Health and Intellectual/Developmental Disabilities Tailored Plan and their regional Local Management Entity/Managed Care Organization (LME/MCO).
Medicaid also covers medication-assisted treatment, the standard of care for opioid use disorder, through licensed opioid treatment programs.
Military Benefits
Four Winston-Salem facilities accept TRICARE, the health program for active-duty service members, retirees, and their families. Veterans in the Piedmont Triad may also qualify for care through the U.S. Department of Veterans Affairs. Additional rehab resources for veterans and military families can help you understand eligibility and enrollment.
Insurance and Private Pay
Private insurance is the most widely accepted payment type in Winston-Salem, taken by 15 facilities, and 18 accept self-payment. If you plan to pay privately, ask each program about total cost, financing, and whether fees can be adjusted based on income.
Other Low-Cost Options
Four facilities offer sliding-scale fees and six offer some form of financial assistance, which can make treatment reachable for people who are uninsured or underinsured. Nonprofit providers in the county, including Insight Human Services, often work with clients on payment.
Free Treatment Programs
While no listed Winston-Salem facility advertises fully free treatment for all clients, grant-funded and nonprofit programs, along with rehab scholarships, can close the gap for those who cannot pay.
County and state-funded services described in the resources section below are another route to low- or no-cost care. Major insurance carriers active in North Carolina include:
Aetna
AmeriHealth Caritas
Blue Cross Blue Shield of NC
Carolina Complete Health
Cigna
Healthy Blue
Humana
UnitedHealthcare
WellCare
Levels of Care Available in Winston-Salem
Winston-Salem facilities cover the core levels of care, with 11 offering medical detox, 13 offering inpatient or residential treatment, 16 offering standard outpatient services, and 13 providing dual diagnosis care for co-occurring conditions. The grid below shows what is available locally.
11 medical detox facilities
13 inpatient rehab programs
16 standard outpatient clinics
13 dual diagnosis programs
1 sober living home
Medical detox provides supervised withdrawal management, often the first step for people dependent on alcohol or opioids. With 11 programs locally, most residents can begin medical detox close to home before transitioning to ongoing treatment.
Inpatient and residential treatment offers structured, live-in care that removes daily triggers and provides round-the-clock support. Thirteen Winston-Salem facilities offer inpatient rehab, with typical stays ranging from a few weeks to 90 days depending on individual needs.
Standard outpatient care is the most widely available option here, letting people attend treatment while continuing to work, attend school, or care for family. Sixteen facilities provide outpatient rehab and intensive outpatient programs.
Dual diagnosis programs treat substance use disorders alongside mental health conditions such as depression or anxiety, which frequently occur together. Thirteen local facilities offer this integrated care, an important option given that untreated co-occurring depression can undermine recovery.
For people leaving inpatient care, one local sober living home and a range of rehab aftercare options can support the transition back to daily life.
Specialty Programs in Winston-Salem
Beyond general treatment, several Winston-Salem facilities tailor programming to specific groups and substances. The counts below reflect programs that identify a particular focus.
13 men's programs
12 women's programs
15 young adult programs
5 programs for older adults
16 alcohol rehab programs
12 opioid rehab programs
Gender-specific programming, offered by 13 men's and 12 women's programs locally, lets participants address issues that can be easier to work through in a single-gender setting.
Fifteen programs serve young adults, and five serve older adults, a group that county officials note is affected by overdoses tied to prescription medications.
Given the county's ongoing opioid overdose activity, programs offering medication for opioid use disorder are especially relevant for many residents.
Free and Low-Cost Rehab Resources in Winston-Salem
Cost should not be the reason someone goes without help. Winston-Salem and Forsyth County offer a range of free and low-cost resources, from crisis lines to harm reduction and county-coordinated behavioral health services. The list below focuses on options you can contact directly.
NC 211 https://nc211.org/
Dial 211 to connect with local health and human services, including substance use and housing support.
County and Nonprofit Services
Forsyth County Behavioral Health Services https://www.co.forsyth.nc.us/hhs/
County-coordinated behavioral health programming and referral. Visit forsyth.cc for current contact details.
Insight Human Services https://insightnc.org/
A CARF-accredited nonprofit offering residential and outpatient treatment, with public and United Way funding that supports uninsured clients.
Harm Reduction and Naloxone
NC Twin City Harm Reduction Collective https://www.tchrc.org/
Provides harm reduction services and free naloxone (Narcan).
Free naloxone dispensers:
Available at the Forsyth County Pharmacy (725 Highland Ave.) and the lobby of the Forsyth County Detention Center (201 N. Church St.).
Unseen Patterns: https://forsyth.cc/
The county's overdose map shows overdose trends and additional naloxone access points across Forsyth County.
Government and Medicaid
NC Medicaid https://medicaid.ncdhhs.gov/
Covers substance use treatment across levels of care. Apply through the North Carolina Department of Health and Human Services at ncdhhs.gov.
Drug and Alcohol Use Statistics in Winston-Salem
Local data help put the need for treatment in Winston-Salem in context. Forsyth County tracks overdose activity closely through its Unseen Patterns surveillance project, and both call volume and death data point to a persistent, evolving crisis.
1,741
Overdose calls Forsyth County emergency services responded to in 2024, up from 1,583 in 2023 — Forsyth County, Unseen Patterns, 2025.
4,298
Overdose calls in Forsyth County between January 2021 and December 2023 — Forsyth County, Unseen Patterns, 2024.
30.0
Medication and drug overdose deaths per 100,000 Forsyth County residents, 2017-2021, above the statewide rate of 27.6 — NC DHHS Division of Public Health, 2023.
25.9
Opioid overdose death rate per 100,000 Forsyth County residents, 2017-2021, above the statewide rate of 22.7 — NC DHHS Division of Public Health, 2023.
Fatal overdoses did ease slightly in the most recent year, with the county recording 21 fewer overdose deaths in 2024 than in 2023, even as total overdose calls rose.
County officials have highlighted two trends behind the numbers: a marked increase in alcohol-involved overdoses and growing overdose activity among young people.
Statewide, an estimated 8 North Carolinians died from a drug overdose each day in 2024, according to the NC Department of Health and Human Services, underscoring why access to timely opioid use disorder treatment and harm reduction remains a local priority.
North Carolina Department of Health and Human Services, Division of Public Health. (2023). Medication and Drug Overdose in Forsyth County: County Overdose Death Slides. https://injuryfreenc.dph.ncdhhs.gov/
North Carolina Department of Health and Human Services, Division of Public Health. (2025). North Carolina Overdose Epidemic Data. https://www.dph.ncdhhs.gov/
Substance Abuse and Mental Health Services Administration. (2024). Findtreatment.gov. https://findtreatment.gov
Medical reviewer
Jillian Foglesong Stabile, MD
Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…
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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