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. These options include drug and alcohol detox, residential drug rehab, outpatient treatment, and aftercare support.

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 a treatment specialist at 1-800-304-2219. 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

  • Find a peer support group: North Carolina 12-step meetings and aftercare programs from the directory.
  • Stay active and distracted—take a long or short walk, join a community center or fitness center.
  • Access open or free addiction healthcare counseling or contact North Carolina 2-1-1.
  • Find an extroverted activity—experience The Blue Ridge Parkway, Beaches of the Outer Banks, the waterfalls in the North Carolina mountains, and museums.
  • Avoid risky situations that lead to relapse. Be aware of triggers and unmanaged stress that causes relapse.

TIPS: If you want to help someone

  • Refer them to local resources through or the North Carolina Department of Health and Human Services.
  • Be aware of overdose risks—resources available through the North Carolina Overdose Prevention Project.
  • Assessment and screening are vital tools. These resources are available through numerous state departments and private clinics.
  • Organize a family intervention and hire a professional interventionist.
  • Avoid enabling an addict as this makes it difficult to get them help.

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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 Drug 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 Drug 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.

Different Rehab Options in North Carolina

Faith-Based Programs  
Outpatient Treatment  
Detoxification Services  
Women-Only Rehab  

Addiction Services in North Carolina Cities


According to SAMHSA, there are 20 inpatient drug and alcohol rehabilitation centers in North Carolina. Generally, when these treatment centers are classified as inpatient, they offer comprehensive medical support—for example, 24-hour care. However, these drug rehab programs are much of the same as any other residential treatment center in the state, offering detox, therapy, and aftercare.

Inpatient Drug Rehab for Specific Demographics:

  • 12 inpatient drug and alcohol treatment centers provide treatment for women only.
  • Twelve drug rehab centers are men-only facilities.
  • There are no inpatient centers for adolescents only.

Payment Options for Inpatient Drug Rehab Programs:

  • 17 inpatient drug and alcohol treatment centers accept Medicaid health insurance.
  • 15 drug rehab centers take private health insurance plans.
  • Four substance use treatment centers provide a sliding-fee scale for clients.

A Break Down of North Carolina Drug and Alcohol Rehabilitation Options

According to SAMHSA:


  • There are over 100 drug and alcohol detox programs in the state. 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

  • 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.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. 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. According to SAMHSA, there are 33 drug rehab centers in Raleigh, North Carolina. The different options include detoxification centers, residential drug and alcohol rehab, and outpatient substance use treatment.

Cost of Treatment in North Carolina

The cost of treatment in North Carolina can vary greatly depending on several circumstances. Chiefly among these is insurance. If a person has some form of health insurance, it can greatly reduce the cost associated with substance abuse treatment. 

According to SAMHSA:

  • North Carolina has more than 400 treatment centers that accept Medicaid.
  • There are 395 programs in the state that accept private health insurance.
  • More than 500 programs accept cash payment, also known as private-pay. 
  • The state of North Carolina has 142 treatment programs that offer sliding-scale payment options. 

Paying for Treatment with Medicaid in North Carolina

Medicaid is an option for free healthcare in North Carolina for those who qualify. When paying for treatment with Medicaid, the person must choose a facility that accepts Medicaid insurance. Thankfully, the state has many of these and Medicaid usually covers the full cost of care. More than 2.5 million residents have Medicaid coverage in North Carolina.

Using Private Insurance to pay for Drug Rehab in North Carolina

Private health insurance costs money to purchase and maintain. It can be quite expensive, however may provide the person with better access to treatment. Unlike Medicaid programs, those that accept private health insurance rarely have waiting lists. They usually provide more individualized care, so more patients are likely to complete the program and stay in recovery. 

For those who cannot afford private health insurance but don’t qualify for Medicaid, it can be tough to know what to do. North Carolina’s health insurance marketplace gives access to certain plans that can be purchased for a discounted rate for those who can prove financial hardship. But the state has rejected federal assistance to expand its Medicaid program, leaving many individuals without any type of health insurance coverage. 

The following insurers are available through North Carolina’s exchange marketplace:

  • Blue Cross Blue Shield of North Carolina
  • Cigna
  • Ambetter/Centene
  • Bright Health
  • Oscar
  • UnitedHealthcare
  • Aetna CVS Health
  • Friday
  • Celtic/WellCare
  • AmeriHealth Caritas

Paying for Treatment when Uninsured

The people who find themselves paying for treatment when uninsured still have options, thankfully. For example, some programs in North Carolina have sliding scale payment options. With a sliding scale, the lower the person’s income, the less they’re required to pay for their treatment. This is often a better option than trying to find coverage and delaying the start of treatment.

For more information on how to pay for treatment, you can reach out to one of the treatment specialists at or contact the center directly.

State and Local Resources in North Carolina

North Carolina Department of Health and Human Services

  • The Mental Health and Substance Abuse section offers addiction and substance abuse services, mental health services, and information about treatment centers.

Recovery Communities of North Carolina

  • Recovery Communities of North Carolina is a nonprofit organization that promotes addiction recovery, wellness, and citizenship through advocacy, education, and support.

North Carolina Department of Public Safety

  • The Alcoholism and Chemical Dependency programs administer and coordinate chemical dependency screenings and substance use disorder treatment services within the Department of Public Safety.

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.

What's new in North Carolina

2 May 2022

The Latest News on Addiction and Recovery in North Carolina

Opioid settlement funds coming to North Carolina—

The first payments from the state's opioid settlement are coming soon. There are already disagreements over which groups are most qualified to receive the money. Over the course of 18 years, the state is set to receive $750 million of the settlement.

Most of the money will be sent to the state's county governments to help people and communities impacted by the overdose crisis. There are specific guidelines for how each county can use its share of the money. However, there are growing tensions around what interventions and treatments should be funded.

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?

Get help for veterans


Marcel Gemme, DATS

Marcel Gemme, DATS


on June 24, 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 June 24, 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.