North Carolina Long-Term Drug Rehabs

Bethel Colony of Mercy – Men’s Campus is a long-term residential addiction recovery program in Lenoir, North Carolina that operates as a Bible-teaching, Christ-centered ministry offering structured residential care for adult men whose alcohol or drug use has seriously disrupted daily life and personal wellbeing. The program blends spiritual formation, community living, and recovery teaching.

Hannah’s Haven is a Christ-centered, long-term residential recovery program for adult women whose alcohol or drug use has significantly disrupted daily functioning, relationships, housing stability, or emotional wellbeing. Rooted in Christian discipleship and operated as part of the broader Teen Challenge network, the program combines structured residential care with spiritual formation, peer accountability, and life-skills engagement.

Greater Piedmont Adult & Teen Challenge is a long-term, faith-based residential discipleship recovery program in Greensboro, North Carolina that supports adult men (18 +) whose alcohol or drug use has deeply disrupted daily functioning, relationships or stability. It is part of the Adult & Teen Challenge network, a Christian-centered non-profit recovery ministry founded on the belief that lasting freedom from addiction involves spiritual, behavioral, and community transformation.

The Salvation Army – Charlotte Adult Rehabilitation Center is a long-term, residential addiction recovery program in Charlotte, North Carolina that provides structured, live-in support for adults whose alcohol or drug use has become disruptive to daily stability, work, housing, and personal wellbeing. Part of The Salvation Army’s national Adult Rehabilitation Center network, this location focuses on sustained recovery through routine, responsibility, and community living.

TROSA is a long-term, multi-year residential recovery program in Durham, North Carolina, designed to help adults with substance use disorders build sustained recovery, life skills, employment readiness and personal stability. Founded in 1994, it is a licensed therapeutic community where participants live onsite and engage in recovery work integrated with daily routine, vocational training and education rather than brief clinical care alone.

North Carolina Boys Academy is a Christian-centered, long-term residential program for adolescent boys (typically ages 13–17) located in Conover, North Carolina. While it functions as a secure boarding school, it also serves as a structured residential recovery and behavioral change environment for young men struggling with life-controlling issues, including behavioral struggles, academic failure, anger, rebellion and drug or alcohol use, by combining spiritual growth, personal development, and daily routine.

Hebron Colony Ministries is one of the oldest faith-based residential addiction recovery programs in the country, operating in the Blue Ridge Mountains of Boone, North Carolina since 1947. The men's facility, affectionately known as "the mountain," houses up to 39 men in a structured live-in program designed for adults whose alcohol or drug use has deeply disrupted daily functioning, stability, or wellbeing. The ministry takes a Christ-centered approach that frames addiction not as the core problem but as a symptom of a deeper spiritual one, and aims for lasting regeneration.

House of Prayer is a faith-based residential addiction recovery program for men in Jamestown, North Carolina, operated as a nonprofit ministry with deep roots in Christian spiritual care. The center provides an extended live-in environment where recovery work is integrated into structured daily life, spiritual growth and community accountability.

Men’s Teen Challenge of the Smokies is a faith-based, long-term residential addiction recovery program for adult men located in Franklin, North Carolina. It operates as part of the Adult & Teen Challenge network and focuses on helping individuals step away from chronic alcohol and drug use through spiritual grounding, structured community living, and daily routine.

Adult & Teen Challenge Sandhills – Coastal Plains is a residential addiction recovery program for men in eastern North Carolina serving as an Induction Center (Phase II) within the broader Adult & Teen Challenge Sandhills continuum. It provides immersive, live-in care rooted in a faith-centered recovery model that integrates structured recovery work with community living, routine and personal development within an extended live-in model.

Bethel Colony of Mercy operates a women's residential addiction recovery program at its Women's Campus in Lenoir, North Carolina, located at 1181 Camp Carolwood Road. The Women's Campus offers a 65-day Christ-centered live-in program designed for women whose lives have been disrupted by drug or alcohol addiction and who are seeking a structured, faith-anchored environment to work toward lasting change. This campus provides immersive, daily-life recovery support grounded in Bible teaching, Christian counseling, and personal accountability. The program is offered free of charge apart from a $350 entry fee at admission.

Residential Treatment Services of Alamance, Inc. is a licensed, long-term residential addiction and mental health recovery program in Burlington, North Carolina that provides structured, 24-hour care for adults working to overcome alcohol or drug dependence, trauma, or co-occurring mental health concerns. Established in 1971 as Wesley Hall of Alamance, RTSA blends clinical stabilization, residential living, and recovery-oriented programming.

First Step Farm of WNC Inc – Women’s Facility is a long-term, residential recovery program in the Pisgah Mountains near Asheville that supports adult women working to overcome alcohol and drug use within a structured, live-in environment. Licensed by the North Carolina Department of Health and Human Services, this facility combines recovery work with routine responsibilities and community living, helping residents rebuild daily functioning and coping skills over time.

Adult & Teen Challenge Sandhills – Greater Charlotte in Kannapolis, NC is a long-term residential addiction recovery step for men within the Adult & Teen Challenge Sandhills network, serving as a mid-stage Phase II Induction Center in the program’s structured continuum. This location offers extended live-in recovery engagement where participants work on deeper recovery skills and personal growth after completing the initial induction phase elsewhere.

First Step Farm of WNC Inc – Men’s Facility is a long-term residential recovery program in the Pisgah Mountains near Candler, North Carolina, that supports adult men working to overcome alcohol and drug use through structured live-in engagement, accountability and practical life skill development. First Step Farm is a private, nonprofit organization licensed by the North Carolina Department of Health and Human Services and has operated residential supervised living programs since the 1970s.

Charlotte Rescue Mission – Rebound is a free, faith-based residential addiction recovery program for adult men in Charlotte, North Carolina. The Men’s Program provides long-term residential care for people whose alcohol or drug use has deeply disrupted daily life, housing stability or personal wellbeing, combining structured recovery work with community living.

Freedom House is a long-term, Christ-centered residential addiction recovery program in Greensboro, North Carolina that provides structured care for adult women, especially mothers, whose substance use has deeply affected daily life, family stability and parenting responsibilities. The organization’s mission is to help women rebuild their lives while keeping their young children with them rather than separating families during the recovery process.

Hope Haven Inc. is a long-term residential recovery program in Charlotte, North Carolina, providing a structured therapeutic community for individuals and families working to rebuild their lives after substance use disorder. Hope Haven serves residents who have already completed primary treatment within the past 12 months and are looking for the kind of extended, structured environment where lasting recovery is built and sustained. The program operates on a person-centered model that treats recovery as something rooted in employment, healthcare, family stability, and community reconnection rather than clinical treatment alone.

Charlotte Rescue Mission – Dove’s Nest is a long-term, residential addiction recovery program in West Charlotte that supports adult women, including mothers, whose alcohol or drug use has deeply disrupted daily life, family stability and wellbeing. Operated by Charlotte Rescue Mission, Dove’s Nest integrates structured recovery work with daily living in a supportive, community-oriented residential environment.

Adult & Teen Challenge Sandhills – Southern Pines Training Center is the Phase I and Phase III residential hub for men within the longer-term, faith-based recovery model operated by Adult & Teen Challenge Sandhills in North Carolina. This Training Center is a live-in residential facility, not a traditional outpatient clinic. where participants begin their recovery journey and later return to complete advanced phases of the program.

FIRST at Blue Ridge is a licensed therapeutic community and long-term residential recovery program in Black Mountain, North Carolina that helps adults change entrenched substance use behaviors by integrating recovery work into structured daily living. Its mission is to provide opportunity, guidance and education so individuals can rebuild personal responsibility, life skills and sustained sobriety.

Burke Recovery – Flynn Recovery House (also known as Flynn Recovery Community) is a residential substance use recovery program for adult men operated by Burke Recovery, a nonprofit addiction services provider in Burke County, North Carolina. This setting offers a live-in residential experience where recovery work is integrated into structured daily routine and holistic engagement.

TROSA Triad is the Winston-Salem campus of TROSA (Triangle Residential Options for Substance Abusers), the organization's first-ever expansion outside its original Durham campus, opened in April 2023 on a Forsyth County–owned facility under a long-term lease. The Triad campus brings TROSA's award-winning, multi-year residential model to North Carolina's western counties, an area the organization had long identified as underserved despite consistently sending Triad-region residents to its Durham program. Like the original site, TROSA Triad provides housing, food, clothing, vocational training, life-skills development, counseling, and health services at no cost to participants.

The Healing Place of New Hanover County is a peer-led, long-term residential recovery program in Wilmington that supports adults whose alcohol or drug use has significantly disrupted daily functioning, stability, roles or wellbeing. The center operates on a social model of recovery, emphasizing accountability, connection, structured engagement, and lived experience, and services are offered at no cost to participants to reduce barriers to recovery.

Freedom Farm Ministries is a Christ-centered, long-term residential recovery program for men in Boone, North Carolina, helping adults break free from drug and alcohol addiction through a structured, faith-grounded year-long pathway. The program combines spiritual transformation, community living, and practical responsibility to support sustained behavioral and life change.

Recovery Ventures Corporation is a long-term residential addiction treatment center in Western North Carolina, operating since 2002 with locations in Old Fort and Rutherfordton. The nonprofit organization provides a low-cost, no-insurance residential pathway for adults whose substance use has become deeply entrenched in daily life, combining a therapeutic community model with a comprehensive clinical overlay. Recovery Ventures serves a diverse population across races, genders, beliefs, origins, and economic backgrounds, with a clinical team made up entirely of program graduates who lead from their own lived experience in long-term recovery.