According to the SAMHSA, there are over 500 different substance use treatment programs and mental health support services in North Carolina. These options include over 400 outpatient services, more than 60 long-term programs, and over 100 detoxification services. and its qualified professionals will help you find the best treatment and support options in the state. In addition, our extensive directory listing of drug detox and long-term drug rehab centers provides contact information for numerous drug rehab centers in North Carolina.

When you contact us, you are connected with a qualified counselor who will help you determine where to begin through a professional assessment and evaluation. Over the phone, we gather information and connect you with appropriate substance use treatment resources to help you or your loved one achieve their treatment and recovery goals.

What should we do about North Carolina's drug epidemic?

TIPS: If you feel you're going to use

  • Call your sponsor or a friend who doesn't use it and understand your situation.
  • Extrovert your attention. Walking and spending time outside can be very therapeutic. 
  • Find a hobby or activity to take your mind off of using. (i.e., art, music, cooking, gardening)
  • Find a purpose in your life and pursue it. (i.e., school, career, volunteering)
  • Recognize the people in your environment who affect you emotionally. They could be one of the reasons for your emotional problems.
  • Make sure to eat healthy foods. A deficiency in vitamins and minerals can create a drop in mental and physical energy.

TIPS: If you want to help someone

  • Don't enable the addict. This includes not giving him any money, not paying their rent, etc.
  • Encourage the person to seek help. This can be done by finding a treatment or a form of support.
  • Be aware of signs of overdose. If you see one of your friends blacking out, or showing other severe side effects, get help immediately.
  • Support the person while they look for rehab since the process can be overwhelming.
  • Don't wait for rock bottom, it may be too late.

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Long-Term Drug Rehab in North Carolina and its addiction professionals believe that long-term substance use treatment is the most effective for rehabilitation and life-long sobriety—here are some reasons why:

  • Long-term drug rehab programs in North Carolina generally utilize multiple treatment methodologies. For example, behavioral therapy, 12-step facilitation, faith-based treatment, holistic medicine, or experiential therapy.
  • More extended programs provide more opportunities to develop strong routines, healthy habits, behaviors, and structure.
  • Patients take advantage of 24/7 medical support and supervision.
  • Extended care and support are more accessible because clients build long-lasting relationships with other sober like-minded people.
  • Long-term rehab programs generally attend to multiple needs, such as vocation, legal, social, or medical problems.

According to SAMHSA and N-SSATS:

Approximately 11.2% of drug and alcohol rehabilitation programs and services in North Carolina are classified as long-term residential treatment. Below is a small breakdown of some options available to specific demographics and payment choices.

Long-Term Treatment Options for Specific Demographics:

  • Only seven residential long-term programs provide help to adolescents.
  • 27 of these are classified as women-only.
  • 17 are specialized to provide help to pregnant or post-partum women.
  • 28  are classified as men-only and do not accept women, which can be beneficial if women can be a distraction for therapy.
  • 13 programs offering long-term services cater to seniors or older adults.
  • 25 long-term rehab centers help the LGBTQ

Payment Options for Long-Term Rehab:

  • 24 long-term programs accept Medicaid.
  • 23 long-term residential programs take private health insurance.
  • 44 facilities will accept cash or private pay. This includes pretty much all programs.
  • Five programs offer a sliding fee scale based on income.

Different long-term treatment services are available in North Carolina. Regardless of the type of addiction you have or your financial situation, will help you find treatment. Contact one of our addiction professionals or consult our directory listing for more information.

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List of Rehabs in North Carolina

Here is a list of the different drug treatment programs in North Carolina. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.

Addiction Services in North Carolina Cities

A Break Down of North Carolina Drug and Alcohol Rehabilitation Options


  • There are over 100 drug and alcohol detox programs in the state per the SAMHSA directory. The first process with most drug rehab involves detox—this is important before counseling and therapy. Detox aims to manage withdrawal symptoms and cravings, especially for opioid addiction.

Outpatient Treatment

  • According to the SAMHSA directory, there are over 450 outpatient substance use treatment services. Outpatient care is a viable option for many people because it does offer long-term care. However, the client must attend treatment daily while living at home. There is more responsibility placed on the individual to maintain sobriety.

Short-Term Drug Rehab

  • A short-term program is any treatment option that provides services for one to four weeks. According to SAMHSA, there are over 20 short-term programs in North Carolina. It is crucial to consider the severity of the addiction because short-term treatment may not be enough.

Long-Term Drug Rehab

  • In North Carolina, there are over 60 different drug rehabs long-term per the SAMHSA directory. Long-term drug and alcohol rehab in North Carolina are programs that offer a length of stay between 30 and 90 days or longer. In our professional opinion, this is the best option for most types of addiction and substance use. Within the state, long-term programs are available in Wilmington, Raleigh, Durham, Greensboro, and Charlotte.

The Cost of Drug Rehabilitation in North Carolina

The cost of substance use treatment in North Carolina varies depending on what facility you decide to go to and the length of stay.

According to the SAMHSA directory;

  • Over 300 substance use treatment services are covered by a state-financed health insurance plan other than Medicaid.
  • Approximately 15 programs require no payment.
  • Over 500 accept cash or self-payment options. In addition, over 350 programs take private health insurance.

Through the North Carolina health insurance marketplace, the following providers offer individual market plans:

  • Blue Cross Blue Shield of North Carolina
  • Cigna
  • Ambetter
  • Bright
  • Oscar
  • United Healthcare

According to NCDHHS pertaining to state-funded services: "All state-funded services are based upon a finding of medical necessity, which is determined by generally accepted North Carolina community practice standards as verified by Local Management Entity-Managed Care Organization. There must be a current diagnosis reflecting the need for treatment. All covered services must be medically necessary for meeting specific preventive, diagnostic, therapeutic, and rehabilitative needs of the individual" Section 3.2 Specific Criteria.

In our experience, most individuals actively using drugs and/or alcohol heavily meet the standard of medical necessity and are qualified to receive treatment.

Substance Use Information & Statistics in North Carolina

    • In 2013, the Good Samaritan Naloxone Access Law was passed.
    • In 2020, over eight North Carolinians died each day from a drug overdose.
    • From 2000 to 2020, more than 28,000 North Carolinians lose their lives to a drug overdose.
    • Overdose rates are increasing faster in marginalized populations.
    • Drug overdose trends vary by race and ethnicity.
    • During COVID-19, there was a resurgence of opioid overdoses and an increase in fatal overdoses.
    • Most overdose deaths now involve multiple substances.
    • 89% of people do not receive the substance use disorder treatment they need.
    • People are 40 times more likely to die of an overdose in the two weeks post-incarceration.'s Evaluation of North Carolina

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in North Carolina, we have discovered the following:


      • There are more long-term residential programs (over 60) than short-term residential programs (over 20). In our experience, lengthier treatment has typically proven more successful. Studies have shown high treatment success rates ranging from 68% to 71%. Success rates were lower for clients with shorter stays in treatment.
      • Fifteen substance abuse programs in North Carolina offer no-payment accepted for treatment. Countless families who contact us cannot afford treatment or have insurance. For example, North Carolina does remarkably better than Virginia, where there are only two of this type of program. In addition, NCDHHS provides numerous low-income services, including some health care services.
      • Over 70 facilities offer payment assistance options and sliding fee scales for families or patients. Paying for treatment is always a barrier. We have found that more programs offering these options are better able to help more people.
      • There are over 100 drug and alcohol detoxification program options in the state. Over 80 detox programs prescribe buprenorphine or naltrexone. In our opinion, these medications are beneficial for managing withdrawal and cravings. Yet should not necessarily be considered a long-term solution as it replaces one drug with another drug.
      • Over 300 substance use treatment services accept state-financed health insurance plans other than Medicaid. We recommend you consider using health insurance to help pay for treatment and access programs.


      • There are less than ten state-operated substance abuse programs. Funding and policy issues are often barriers for states to increase the number of services. According to some information, these programs rely on three funding streams: Federal substance abuse block grants, Medicaid reimbursement, and State general funds. Unfortunately, these programs do not always provide the best treatment resources and methodologies. Yet are accessible to people with low-income, Medicare, and Medicaid.

      • There are only 20 federally funded certified opioid treatment programs—compared to Virginia, where there are over 30 programs. These programs use medication-assisted treatment for opioid use disorder. OTP's are adequate to manage the initial effects of opioid addiction and prevent overdose. However, methadone maintenance should not be considered a long-term solution.

      • Given the size of the state, it may be hard for someone to get a therapeutic distance away from restimulating environments. Many addicts who are in close proximity to the areas they used drugs and alcohol could have the impulse to leave treatment during times of intense cravings and mental hardship. If someone knows they can leave treatment and have drugs within the hour, it may be hard for them to commit to the rehabilitation process fully.

Overall, North Carolina is a great state if you are in need of drug and alcohol rehabilitation. There are many options across the state, and the state provides services to those who are not able to afford them. While distance away does not make or break treatment, it can be helpful, so depending on the situation, looking outside the state for assistance may be necessary.

Frequently Asked Questions

What Is the Current Rate of Opioid Abuse within North Carolina?
Does North Carolina Have a Jail Diversion Program for Drug Abuse?
Where Does North Carolina Rank for Drug-Related Deaths?


Marcel Gemme, DATS

Marcel Gemme, DATS


on January 21, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.

Dr. Rohit S. Adi, MD, DABAM

Dr. Rohit S. Adi, MD, DABAM

Medically Reviewed

on January 21, 2022

More Information

Dr. Rohit S. Adi is certified in addiction medicine, through examination, by the American Board of Addiction Medicine. While in Louisiana, he worked as an emergency-room physician at Our Lady of Lourdes Regional Medical Center in Lafayette, Louisiana, but then transferred to Our Lady of the Lake Regional Medical Center in Baton Rouge, where he works to this day. Holding numerous positions throughout his medical career, Dr. Adi has seen the devastating effects caused by drugs and alcohol. Having the ability to do something about the problem, he co-founded a holistic drug rehabilitation center in Louisiana, where he serves as the facility's Medical Director.