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Drug & alcohol rehab centers in Charleston, SC

Compare 15 addiction treatment centers in and around Charleston, 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 South Carolina for yourself or someone you love.

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15 addiction treatment centers in Charleston, SC

Showing 1–15 How results are ordered

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Ralph H Johnson VA Medical Center SC 29401

Ralph H Johnson VA Medical Center

109 Bee Street, Charleston, SC 29401

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Ralph H. Johnson VA Medical Center is a Veteran-focused substance use treatment provider in Charleston, South Carolina, offering addiction and mental health care through the VA Charleston Health Care System. The center provides outpatient substance use disorder treatment, medication for addiction treatment, counseling and access to inpatient and residential rehabilitation options. Veterans value the coordinated, whole-person approach that pairs addiction…

Lantana Recovery Outpatient Rehab SC 29401

Lantana Recovery Outpatient Rehab

65 Gadsden St, Charleston, SC 29401

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Lantana Recovery Outpatient Rehab in Charleston, South Carolina is a community focused substance use rehabilitation center dedicated to supporting people with compassion and respect. We like Lantana Recovery because of the efforts they put into serving people holistically, treating not just substance dependency but also the emotional components that are often intertwined with it. You will be treated as a…

Charleston Recovery Center SC 29414

Charleston Recovery Center

2578 Ashley River Rd Unit G, Charleston, SC 29414

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

The Charleston Recovery Center is a nonprofit drug and alcohol addiction treatment center. They specialize in residential treatment programs ranging from 90-360 days. The program is oriented toward addiction only and is not a mental health treatment center. The facility is in Charleston, South Carolina, and staffed largely by people who have already gone through the program and want to…

MUSC Health Institute of Psychiatry SC 29425

MUSC Health Institute of Psychiatry

67 President Street, Charleston, SC 29425

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

MUSC Health Institute of Psychiatry is a behavioral health facility in downtown Charleston, South Carolina offering comprehensive psychiatric and addiction services for adults. Through its Center for Drug and Alcohol Programs the Institute treats alcohol and substance use disorders using cognitive behavioral therapy and motivational interviewing, twelve step facilitation and medication management including care for co-occurring mood and anxiety disorders.…

Barrier Islands Psychiatry And Addiction Medicine

Barrier Islands Psychiatry And Addiction Medicine

1620 Ashley River Rd, Charleston, SC 29407

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Barrier Islands Psychiatry And Addiction Medicine is an outpatient addiction treatment and psychiatric care practice in Charleston, South Carolina serving adults with substance use disorders and co-occurring mental health conditions. Services include psychiatric assessment and medication assisted treatment, therapy and an intensive outpatient program. The practice takes an integrated approach, combining addiction medicine with psychiatric care to support whole person…

Charleston Pediatric Rehabilitation SC 29407

Charleston Pediatric Rehabilitation

1064 Gardner Road Suite 101, Charleston, SC 29407

  • Inpatient

Charleston Pediatric Rehabilitation is a rehab located in Charleston, South Carolina. Charleston Pediatric Rehabilitation specializes in the treatment of addiction.

Christian Spiritual Cleaning Service SC 29403

Christian Spiritual Cleaning Service

46 Poinsett Street, Charleston, SC 29403

  • Inpatient

Christian Spiritual Cleaning Service is a rehab located in Charleston, South Carolina. Christian Spiritual Cleaning Service specializes in the treatment of addiction.

Heartland of West Ashley Rehabilitation and Nursing Center

Heartland of West Ashley Rehabilitation and Nursing Center

1137 Sam Rittenberg Boulevard, Charleston, SC 29407

  • Inpatient

Heartland of West Ashley Rehabilitation and Nursing Center is a rehab located in Charleston, South Carolina. Heartland of West Ashley Rehabilitation and Nursing Center specializes in the treatment of addiction.

Plantation Plaza Therapy Center SC 29407

Plantation Plaza Therapy Center

12 Carriage Lane Suite C, Charleston, SC 29407

  • Inpatient

Plantation Plaza Therapy Center is a rehab located in Charleston, South Carolina. Plantation Plaza Therapy Center specializes in the treatment of addiction.

Map showing Alternatives Life Improvement Center

Alternatives Life Improvement Center

2114 Cosgrove Avenue, Charleston, SC 29405

  • Inpatient

Alternatives Life Improvement Center is a rehab located in Charleston, South Carolina. Alternatives Life Improvement Center specializes in the treatment of addiction.

Map showing Charleston Dorchester Community Mental Health Center

Charleston Dorchester Community Mental Health Center

2100 Charlie Hall Boulevard, Charleston, SC 29414

  • Outpatient
  • Medicaid
  • Private insurance

Charleston Dorchester Community Mental Health Center is a rehab located in Charleston, South Carolina. Charleston Dorchester Community Mental Health Center specializes in the treatment of addiction.

Map showing Oxford House Saint Margaret

Oxford House Saint Margaret

773 Rutledge Avenue, Charleston, SC 29403

  • Inpatient

Oxford House Saint Margaret is a rehab located in Charleston, South Carolina. Oxford House Saint Margaret specializes in the treatment of addiction.

Map showing Oxford House Stono Park

Oxford House Stono Park

242 Huntley Drive, Charleston, SC 29407

  • Inpatient

Oxford House Stono Park is a rehab located in Charleston, South Carolina. Oxford House Stono Park specializes in the treatment of addiction.

Map showing Rehabilitation Centers

Rehabilitation Centers

1941 Savage Road, Charleston, SC 29407

  • Inpatient

Rehabilitation Centers is a rehab located in Charleston, South Carolina. Rehabilitation Centers specializes in the treatment of addiction.

Charleston Center

Charleston Center

3685 Rivers Ave, North Charleston, SC 29405

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

The Charleston Center in South Carolina offers various treatment programs to help people in Charleston County living with substance use issues break free of their addiction. Programs and services include residential treatment and withdrawal management, outpatient treatment, alcohol and drug safety action programs, medication assisted treatment, urine drug screening, and prevention and education services. Private insurance and Medicaid are accepted…

Rehab centers in cities near Charleston

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

See South Carolina rehab centers →

Nikki Seay, LPN, BS

Addiction & Mental Health Author

Full bio

Expert insight

“And her care doesn’t stop there, patients are monitored for over six months and she is observing good success rates - higher than other treatment programs.”

I recently learned about a program at the Medical University of South Carolina that may very well be saving lives.

ED doctor Allison Smith, hated seeing addiction take over patients’ lives when they’d arrive at the hospital in a critical condition. Instead of judging patients and discharging them, which happens at a lot of EDs, Dr Smith has developed a program to find treatment for coming to the ED with signs of substance use disorder. So far, her team, which includes a peer recovery coach and care coordinator, has treated over 70 patients with medication.

Frequently asked questions

What to know about rehab in Charleston

How We Rank Listings

We review each of the rehab centers on this page. Each is drawn from our directory and is reviewed before it's published. Our team checks for appropriate South Carolina licensure, confirms the level of care, specialty programs and payment options.

We check for different types of insurance, Medicaid, Medicare and sliding scale or financial assistance options. We cross check accreditation claims when the status is available, such as Joint Commission or CARF. Our listings are not ranked by paid placements.

What to Know About Rehab in Charleston

Charleston, South Carolina is at the heart of Charleston County and the Lowcountry region. The area stretches from North Charleston and Mount Pleasant to West Ashley and James Island.

Our South Carolina rehab directory lists 14 treatment providers that provide addiction treatment services to the Charleston area. Treatment can range from medical detox units to outpatient clinics built around your work and school schedules.

The Charleston Center is the county's designated behavioral health and addiction treatment authority under the state Department of Alcohol and Other Drug Abuse Services. They administer Charleston County's public substance use services.

Wake Up Carolina is a local group that also works with first responders to distribute naloxone and connect overdose survivors with follow-up care.

Overdose deaths in Charleston County fell from 255 in 2023 to 178 in 2024. The county's overdose death rate rose the year before as the overall state numbers dropped.

That movement is part of why addiction treatment options here span short medical detox stays through longer residential and outpatient care.

Cost of Rehab in Charleston

Rehab costs in Charleston depend on the level of care you receive, your length of stay, and whether the program accepts your insurance. Detox and residential inpatient care cost more per day than outpatient care because you have round-the-clock staffing, housing, and meals included in your care.

Charleston's cost of living is driven up by tourism and coastal housing. This can drive private pay rates higher. Verifying your insurance benefits before admission is the best way to learn a facility's cost and your potential out of pocket expenses.


Treatment setting inpatient or outpatient


Length of stay 28, 60, or 90 days


Insurance coverage and network status


Sliding-scale or financial assistance availability


Location within the Charleston metro area

How to Pay for Rehab in Charleston

Paying for addiction treatment can feel overwhelming. Federal and state parity laws mandate that most private insurance plans cover treatment for substance use disorders and mental health conditions.

Most of the 14 rehab facilities listed for Charleston accept more than one form of payment. Six facilities take self pay or cash, six take private insurance, and a smaller number work with Medicaid, Medicare, TRICARE or financial assistance.

Medicare

Two facilities in Charleston accept Medicare. This can help cover medically necessary detox and inpatient stays for individuals who are 65 and older. A physician must certify medical necessity for care.

However, prior authorization rules vary by plan, so you must confirm your insurance benefits with a facility's admissions team before you begin treatment.

Medicaid

Healthy Connections is South Carolina's Medicaid program. Three facilities accept Healthy Connections to help cover substance use disorder services for eligible residents. This can include some medication assisted treatment for opioid use disorder. Covered services vary based on your managed care plan.

Military Benefits

Three facilities in the Charleston area accept TRICARE. This is military insurance for active duty personnel, families and veterans. This is relevant in a region home to Joint Base Charleston and a sizable veteran and active-duty population. Coverage typically requires a facility authorized by TRICARE and precertification for inpatient care.

Insurance and Private Pay

Six facilities accept private insurance and six accept self pay or cash. This gives you access to treatment without in-network coverage. Private-pay rates are sometimes negotiable and tied to your level of care and the length of your stay.

Other Low Cost Options

Two facilities in Charleston offer financial assistance based on income or circumstance. Rehab scholarships are worth exploring before ruling out treatment based on cost when you can't find an affordable option.

  • Aetna
  • BlueCross BlueShield of South Carolina
  • Cigna
  • Healthy Connections Medicaid
  • Humana
  • Medicare
  • TRICARE
  • UnitedHealthcare
Levels of Care Available in Charleston

The14 listed facilities in Charleston include 4 detox programs, 13 inpatient programs, 6 outpatient clinics, 1 partial hospitalization program, and 3 dual diagnosis programs.

Medical detox programs help manage your withdrawal safely under medical supervision. This is often the first step for people dependent on alcohol, opioids or benzodiazepines. Your next step in treatment may be inpatient rehab. This level of care provides 24 hour residential care. This is Charleston's most common level of care.

Partial hospitalization offers an intensive day treatment step down program without an overnight stay. Traditional outpatient rehab lets you keep working or attending school while in therapy.

Dual diagnosis care is specialized treatment that addresses substance use disorder at the same time as mental health conditions like depression or anxiety at the same time.

Specialty Programs in Charleston

Several facilities in the Charleston area run programs built around a specific population or substance.

The LGBTQ+ friendly program offers LGBTQ+ affirming addiction care for people who want an environment that focuses on identity related trauma. The veterans and military program serves families connected to Joint Base Charleston and the Ralph H. Johnson VA Medical Center.

Young adult programs reflect Charleston's large college age population tied to the College of Charleston and The Citadel. Alcohol specific programs are the largest specialty category and focus on alcohol use disorder treatment.

Free and Low Cost Rehab Resources in Charleston

People who need help now, or cannot afford private treatment, have several no cost options in and around Charleston.

  • 988 Suicide and Crisis Lifeline: call or text 988 for 24/7 crisis support, including substance use crises.
  • SAMHSA National Helpline: 1-800-662-4357, free and confidential, 24/7 treatment referral service.
  • 211 South Carolina: dial 211 for local referrals to housing, food, and treatment across the Lowcountry.
  • Charleston Center: Charleston County's public behavioral health and substance use treatment authority.
  • Ralph H. Johnson VA Medical Center: substance use and mental health services for Charleston-area veterans.
  • Wake Up Carolina: Lowcountry nonprofit distributing naloxone and connecting overdose survivors with peer support.

If thoughts of self-harm are part of what you or a loved one are facing, the suicide prevention resources above are available around the clock.

Drug and Alcohol Use Statistics in Charleston

Charleston County's overdose numbers shifted sharply in recent years, and fentanyl remains the dominant driver.

The drop in county overdose deaths between 2023 and 2024 is encouraging, but outreach workers have reported spikes in specific months, which is why treatment access and fentanyl awareness remain priorities here.

Medical reviewer

Sendra Yang, PharmD, MBA

Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…

Read bio

Medical Information Professional. Read bio

Author

Nikki Seay, LPN, BS

Nikki brings more than 10 years' experience in content and healthcare. She holds a Licensed Practical Nursing degree and a B.S. in Marketing. In recovery since 2010, Nikki understands addiction from both a personal and a clinical point of view,…

Read bio

Addiction & Mental Health Author. Read bio

Sources Sources (4)
  1. South Carolina Department of Public Health. (2024). 2024 Drug Overdose Deaths Report.
  2. South Carolina Department of Public Health. (2023). 2023 Drug Overdose Deaths Report.
  3. USAFacts, citing CDC WONDER data. (2023). Drug Overdose Deaths in South Carolina.
  4. Charleston County Coroner's Office, reported by WCIV ABC News 4. (2025). Charleston County overdose deaths fall to 5-year low, but recent spike raises concern.

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