Drug & Alcohol Rehabs in
Winston Salem, NC

Winston Salem North Carolina Drug Alcohol Rehab
If you or someone you care about is searching for a drug rehab or alcohol rehab in the Winston-Salem area, you will find many options. Located in the northwest part of North Carolina, the Winston-Salem area is home to a variety of residential and outpatient treatment settings. You can find rehab centers based on age, gender, availability of bilingual staff, faith-based approaches, and more. In addition, there are rehab centers that are publicly funded and those that take Medicaid and/or Medicare.

Find Rehab Centers in Winston Salem

Thumbnail Name Address Phone Treatment Insurance
Novant Behavioral Health

175 Kimel Park Drive
Winston-Salem, NC 27103

336-718-3550 Outpatient Detox Inpatient Private
New Leaf Adolescent Care Winston Salem

3720 Vest Mill Road
Winston-Salem, NC 27103

336-659-6135 Outpatient Medicaid
Triad Therapy Winston Salem

7830 North Point Boulevard
Winston-Salem, NC 27106

336-896-0904 Outpatient Medicaid Private
Life Changes Winston Salem

928 Burke Street
Winston-Salem, NC 27101

336-793-3350 Outpatient N/A
Twin City Counseling Center

523 Summit Street
Winston-Salem, NC 27101

336-722-9592 Outpatient N/A
Wake Forest Baptist Health MHS

791 Jonestown Road
Winston-Salem, NC 27103

336-716-4551 Outpatient Detox Inpatient Medicaid Private
The Fellowship Home of Winston Salem

661 North Spring Street
Winston-Salem, NC 27101

336-727-1084 Inpatient N/A
Novant Health Forsyth Medical Center Winston Salem

3333 Silas Creek Parkway
Winston-Salem, NC 27103

336-718-5000 Inpatient Medicaid Private
Insight Human Services

665 West 4th Street
Winston-Salem, NC 27101

336-725-8389 Outpatient Detox Inpatient Medicaid Private
Daymark Recovery Services Forsyth Center

650 Highland Avenue
Winston-Salem, NC 27101

336-607-8523 Inpatient N/A
Winston Salem Comprehensive Treatment Center

1617 South Hawthorne Road
Winston-Salem, NC 27103

336-750-6380 Outpatient Detox Medicaid Private
Winston Psychiatric Associates

125 Ashleybrook Square
Winston-Salem, NC 27103

336-765-6577 Outpatient Detox Private
Daymark Recovery Services Forsyth NW Center

1010 West Northwest Boulevard
Winston-Salem, NC 27101

336-722-4000 Outpatient Detox Inpatient Medicaid Private
Addiction Recovery Care Association

1931 Union Cross Road
Winston-Salem, NC 27107

336-784-9470 Detox Inpatient Private
Amos Cottage Pediatric Development and Behavior

3325 Silas Creek Parkway
Winston-Salem, NC 27103

336-713-7444 Outpatient Medicaid Private
Crossnore Communities for Children Winston Salem

1001 Reynolda Road
Winston-Salem, NC 27105

336-721-7600 Outpatient Inpatient Medicaid Private
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Winston-Salem Drug and Alcohol Use Statistics

Rates of substance use among adults in North Carolina tend to be similar to those of the national average.

The government and local entities have joined forces to address this problem by forming the Forsyth Regional Opioid and Substance Use Team (FROST). This group works on prevention and harm reduction efforts as well as works to eliminate barriers to treatment and recovery supports.3

How Much Does Drug Rehab in Winston-Salem Cost?

winston salemMost rehab programs in Winston-Salem are publicly funded or accept Medicaid. These programs are also accessible to people with private, commercial insurance or who wish to self-pay. Other factors that can impact the cost of rehab include the specific insurance plan and deductible if using private insurance. Whether a program is in-network or out-of-network with your insurance company will also impact the cost. Additional funding sources that can be considered when paying for rehab include Medicare and Federal Military Insurance (such as Tricare).

The cost of rehab will also vary depending on the type of rehab program. Medical detox and residential/inpatient treatment are usually the most expensive because of the intensity of services they provide. Rehab programs that don’t require an overnight stay, such as partial hospitalization, intensive outpatient, and general outpatient, cost less as the intensity of service decreases.

Many rehab programs are willing to work with people who need help paying for services. Some offer payment plans, and others offer financial assistance based on income and other factors.

How To Find Low-Cost and Free Rehabs in Winston-Salem

Local Management Entity/Managed Care Organization (LME/MCO) oversees services that can be paid for with Medicaid or state funds. The LME/MCO that serves Forsyth County is Partners Health Management. They can be contacted at 800-926-9037 (Info iconWho Answers?) .

You can also contact the Alcohol and Drug Council of North Carolina. They have a hotline set up to help people navigate the system to find assessment, treatment, and other recovery supports.

What If I Want To Find Drug Rehabs Near Me?

A good place to start is the SAMHSA (Substance Abuse and Mental Health Services Administration) Behavioral Health Treatment Locator. You can search for rehabs by entering criteria that match your needs, such as within a certain radius of a particular city or payment type. Once you enter a location to start with, you’ll have the option of clicking an arrow next to “substance use” at the top right of the page. This will give you a menu of other options for narrowing your search.

Do Medicare and Medicaid Cover Alcohol and Drug Rehab?

Not all rehab programs accept Medicaid and Medicare. However, for those that do, Medicaid in the state of North Carolina covers the cost of rehab services. Specific covered services include assessment, medication management, residential treatment, outpatient individual counseling, group counseling, family therapy, and psychological testing.4

Does Private Insurance Cover Addiction Treatment?

Most private insurance plans will cover some of the costs of alcohol rehab and/or drug rehab. The specific services and amount of coverage will depend on the insurance company, the insurance plan that the policyholder has, and whether the rehab program is in-network with the insurance carrier. Most rehab programs that accept private insurance will ask for the specifics of the insurance plan and additional information about the policyholder to submit verification of benefits. The results of the verification of benefits will tell the policyholder and the rehab staff what can be expected regarding coverage of costs. It is also possible to contact the insurance carrier directly to inquire about coverage.

Whether a rehab program is in-network with a specific insurance company will also make a difference in cost. Generally, insurance premiums have higher deductibles for out-of-network services, and this applies to rehab as well. Insurance premiums may also have rules about how many days (for residential) or hours (for outpatient) of service are covered. These rules don’t always match the recommendations of rehab professionals and can force the policyholder to end treatment or pay the additional cost out of pocket.

Popular Alcohol and Drug Rehab Centers in Winston-Salem

Addiction Recovery Care Association

This center provides assessments, medical detox, and residential treatment for adults. The program is based on the 12-step approach to recovery and includes family services.

Novant Health Behavioral Health Center

This center provides medical detox, residential rehab, as well as outpatient treatment services. Novant also provides rehab services specifically designed for older adults.

R.J. Blackley Alcohol and Drug Abuse Treatment Center

Located in Butner, this facility is the state-operated North Carolina Alcohol and Drug Abuse Treatment Center (ADATC) that serves Forsyth County. This facility helps people with addiction rehab and other behavioral health concerns. They treat co-occurring disorders and provide medical detox services. The cost of services is based on income, and admission to services is available to anyone who needs services.

Winston Salem Comprehensive Treatment Center

Comprehensive Treatment Centers provide medication-assisted treatment for adults suffering from alcohol and/or opioid use disorders. They provide counseling combined with prescription medication and monitoring.

The Rehab Process: What To Expect

The various forms of drug and alcohol rehab exist along a continuum of the intensity of services. These different levels of care are defined by the American Society of Addiction Medicine. The level of care that is most appropriate for someone seeking help is determined through an assessment process that measures a variety of criteria. A person seeking treatment could enter the continuum of services at any point, if appropriate, and then would move up or down levels as their needs and response to treatment change. For example, someone could begin treatment at an intensive outpatient level and as they become more stable in their recovery, would move down to a general outpatient level of treatment.

The most accessed levels of care include:

Level 0.5 (Early Intervention): Usually classes such as those required after a DUI.

Level 1 (Outpatient Services): Can be one individual session per week up to 8 hours per week of a combination of individual, group, and family counseling.

Level 2.1 (Intensive Outpatient Services): A minimum of 9 hours per week of treatment services, most of which occur in a group setting with individual and family sessions as needed.

Level 2.5 (Partial Hospitalization Services): A minimum of 20 hours per week of treatment services, generally during the day.

Levels 3.1-3.5 (Clinically Managed Residential Services): Treatment activity occurs every day of the week in a highly structured environment and includes meals and housing.

Level 4 (Medically Managed Intensive Inpatient Services): Medical detox is designed to stabilize you as you withdraw from a substance or substances. Once you are medically stable, case management services help with transitioning them to another level of follow-up care.5

Receiving a Substance Abuse Assessment

A comprehensive substance use assessment is used to determine which level of care is most appropriate for you in your treatment. Most rehabs will be able to complete an assessment in-house. The Alcohol and Drug Council of North Carolina hotline at 800-926-9037 (Info iconWho Answers?) is also a good place to start when looking for a place to complete an assessment.

The assessment process normally consists of a lengthy interview in which the interviewer asks questions about your life history, patterns of substance use, previous treatment, and medical and mental health concerns, etc. The purpose of the questions is for the interviewer to determine an accurate diagnosis of a substance use disorder, if appropriate, and then to determine the appropriate level of care based on criteria from the American Society of Addiction Medicine (ASAM). The assessment will also provide important information for the counseling staff who will be helping create your treatment plan. Information in the assessment can inform this process and help ensure that the plan is crafted with the individual’s unique needs and life experiences in mind.

Medical Detox Treatment

The withdrawal process can sometimes be a dangerous one and might need to be medically monitored. Some substances are much more dangerous than others when it comes to withdrawal. The withdrawal process can also be complicated if you have multiple substances in your system or with the presence of other medical conditions.

Whether withdrawal is likely to be dangerous can be determined through the assessment process. It is also recommended that any time someone appears to be experiencing serious physical symptoms, they should seek immediate help at the nearest emergency room or call 911.

While people usually feel much better as they leave the detox setting, it’s important to understand that they are only just beginning the process of recovery. Medical detox alone does not address the contributing factors to addiction and won’t do much good in helping to maintain a healthy recovery. A comprehensive treatment approach is the best way to begin a solid recovery process.

Inpatient Drug Rehab in Winston-Salem

Inpatient or residential rehab is a highly structured environment in which the individual stays at the facility 24 hours a day, seven days a week. The overall length of stay in a residential program varies and can be influenced by the model of treatment the facility uses, insurance or funding restrictions, and the individual’s identified needs for this level of treatment.

Residential programming is especially helpful for someone who is unable to maintain sobriety for even a short period of time in their current environment. The residential format helps to keep people safe from the presence of drugs and alcohol while they address underlying factors that contribute to their addiction, learn new coping strategies, and develop a long-term strategy for ongoing recovery.

Step-Down Care

As you complete the residential level of treatment, you will likely be referred to a lower level of care to “step down” in the recovery process. This step down provides ongoing support and learning while you transition back into your new life. You will be able to continue to build recovery skills while having the safety of some structure as you encounter real-life struggles.

Aftercare and Relapse Prevention

Recovery is a lifelong process often supported by aftercare services and relapse prevention.

Most rehab programs will assist with identifying the programs and supports that make the most sense for your recovery.

Many ongoing aftercare and relapse prevention supports are informal groups that people can attend throughout their lives. These groups are free and meet either in person, online, or a combination of the two. A few options in Winston-Salem include:

Alcoholics Anonymous

Narcotics Anonymous

Families Anonymous

Smart Recovery

Celebrate Recovery

Ongoing individual therapy

For additional options in the Winston-Salem area, you can find a list of recovery support groups on the Forsyth County Public Health webpage.

It is also possible that even with good support and a strong plan, relapse happens. Relapse isn’t inevitable, but it also isn’t unusual. It can be a frustrating experience, especially after making progress and feeling good about recovery. All recovery services, support groups, and rehab programs understand that there is no shame in relapse. It is okay to return to these services for help with using the relapse as a learning experience and to gain a deeper understanding of the self.

What To Consider When Choosing the Right Winston-Salem Rehab for You

There are many factors to consider when choosing which rehab program is the right one. Some questions to consider might include:

What to Look for in a Quality Treatment Program

Is the Facility Accredited?
Accreditation from an organization such as CARF or the Joint Commission can be a good indicator that the program has reached a high level of professional standards.

Do the Staff Have Appropriate Credentials?

The North Carolina Addictions Specialist Professional Practice Board provides licensure for five different specialties for professionals practicing in the area of addiction services. Licenses to look for when considering rehab are:

  • Certified Alcohol and Drug Counselor
  • Licensed Clinical Addiction Specialist
  • Certified Clinical Supervisor
  • Certified Prevention Specialist
  • Certified Criminal Justice Addictions Professional6

Is Treatment Individualized?

Individualized treatment can be important because it means that your unique needs and strengths are being considered. It is an indicator that your treatment is at the center of the process and the insight and skills developed will be useful as you create a life of recovery.

What is the Staff-to-Patient Ratio?
Having a low staff-to-patient ratio can be a good indicator that treatment will be person-centered and individualized. The fewer patients that each counselor is responsible for, the more time each of those patients will be able to have with that counselor. That often translates into more individualized care.

Are There Financing or Payment Plan Options?
Many rehab programs will offer a financing option for people who cannot pay the entire cost upfront. Some will have a specific set of parameters for payment plans and others may be willing to negotiate terms.

Is There Access to Medical Care Onsite?
It can be particularly important in residential settings to have medical staff onsite. The presence of medical staff can provide support if medical issues arise during the treatment process. This can be especially important if you have physical health concerns that need to continue to be monitored through the treatment process.

What Does the Aftercare Planning Process Look Like?
Aftercare planning is a crucial component of successful treatment and ongoing recovery. Aftercare planning that is collaborative between the counselor and the patient is likely to be the most successful. It can be helpful to find planning that takes into consideration your life factors, such as family commitments, employment schedule, and distance to support services.

Are There Alumni Programs Available?
Alumni programs are very popular and often provide an ongoing supportive community. Many rehab programs offer alumni programs that meet regularly in person. More frequently there are also programs offered online.

Are Family Members Allowed To Be Involved in the Treatment Process?

Addiction doesn’t happen in a vacuum, and it is generally accepted good practice to include the family in your treatment as much as possible. Ultimately, you should have the ability to request or decline family involvement. However, it can be helpful to know if the treatment staff are trained to work with families and what the options are for family involvement.

Are the Treatment Approaches Evidence-Based?

Evidence-based treatment approaches are those that have been researched and tested and have been found to be beneficial to people in drug and alcohol treatment. Most drug and alcohol rehabs will have a list on their website of the specific approaches that they use. Additional information regarding current best practices and evidence-based approaches to substance misuse treatment, the Substance Abuse and Mental Health Services Administration (SAMHSA) has a lot of good information on their website.

Should I Travel to Winston-Salem for Alcohol and Drug Treatment?

winston salemMost residential rehabs in Winston-Salem cater to residents of North Carolina because they are supported by state funding and/or they take Medicaid. If someone is interested in being admitted to one of these programs from out of state, they would most likely need to have private insurance or the ability to pay for treatment themselves. There are also many quality outpatient services in the city, but these would not likely be good options for someone who lives far away.

Neighborhoods in Winston-Salem To Consider for Addiction Treatment


This is one of the largest neighborhoods in Winston-Salem and includes many historic residential and commercial structures. It’s located between Wake Forest University Baptist Medical Center and Forsyth Hospital.


Downtown Winston-Salem is home to many bars, restaurants, and art galleries. As a result of efforts to revitalize the area, the nightlife in the downtown area is full of activity.

Old Vinyard

This is another historic neighborhood that includes parks and playgrounds for residents and visitors. This neighborhood also has a large community garden.

West End

This area includes many restaurants and parks among a variety of homes and buildings with architectural styles from the turn of the century.

Drug and Alcohol Laws in Winston-Salem and North Carolina

North Carolina law prohibits the possession of any controlled substance or possession with intent to distribute. Penalties for breaking these laws fall within a range that considers the seriousness of the offense, how many prior convictions you have, and any additional factors involved in the offense.

North Carolina has a “good Samaritan” law that gives immunity to anyone who calls emergency services or law enforcement in order to help someone who is experiencing an overdose.7


  1. Substance Abuse and Mental Health Services Administration. (2020). Behavioral Health Barometer: North Carolina, Volume 6: Indicators as measured through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services. HHS Publication No. SMA–20–Baro–19–R10. Rockville, MD: Substance Abuse and Mental Health Services Administration.
  2. State of North Carolina Department of Health and Human Services Division of Public health Injury and Violence Prevention Branch. (n.d.). Opioid and Substance Use Action Plan Data Dashboard.
  3. Forsyth County. (n.d.) FROST (Forsyth Regional Opioid and Substance Use Team).
  4. North Carolina Department of Health and Human Services, Division of Health Benefits. (2012, July 1). DMA Rate Setting: Medicaid Coverage: Level III and IV Residential Rates.
  5. Mee-Lee, D., Shulman, G., Fishman, M., Gastfriend, D., Miller, M., eds. (2013). The ASAM Criteria: Treatment Criteria for Addictive, Substance-Related, and Co-Occurring Conditions. Third edition. Carson City, NV: The Change Companies.
  6. The North Carolina Addictions Specialist Professional Practice Board. (n.d.). Credentialing.
  7. University of North Carolina at Chapel Hill Police. (n.d.). Federal, State and Local Regulations; North Carolina Drug and Alcohol Laws.