Long-Term Drug Rehab in North Carolina

Last updated: 12 August 2022

When searching for drug rehab in North Carolina, it is essential to ensure the facility selected provides the services needed. However, this can be difficult to determine, and you or your loved one may not know where to begin. Addicted.org created an extensive directory for the purpose of finding treatment. The listings include detox and long-term drug rehab in North Carolina. There is a detailed description of services to help you or your loved one make an informed choice.


List of Rehabs in North Carolina

Below is a list of the different drug rehab centers in North Carolina. Each listing provides information on the types of services provided and the payment options available. You can also find accreditations and certifications to help you determine if the rehab center is trusted and has the expertise you are looking for. The list can be incomplete so please do not hesitate to contact a treatment specialist at 1-800-304-2219.

Commitment to Quality

Addicted.org's team of addiction professionals has over 100 years of combined experience in the field of substance use and addiction recovery. They use this experience when assessing each service listed in our directory. If you have any questions, comments, or concerns regarding any of the listings in our directory, you can contact the team directly at Communications@addicted.org. We will utilize your feedback to make any necessary updates to our list of services.

Call 1-800-304-2219 to talk to a rehab specialist

North Carolina Drug Use Video & Tips

TIPS: If you feel you're going to use

  • Find a peer support group: North Carolina 12-step meetings and aftercare programs from the addicted.org 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 addicted.org 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.

Long-Term Drug Rehab in North Carolina

Addicted.org 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.

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

Services breakdown for North Carolina drug rehab.

North Carolina Inpatient Rehab

According to SAMHSA, there are 19 inpatient drug and alcohol rehab programs in North Carolina. This also includes 24 hospital inpatient programs offering 24-hour care. Residential drug rehab is different from inpatient treatment. These programs offer elevated medical support and 24-hour supervision at some facilities.

Addiction Services in North Carolina Cities

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. 

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 Addicted.org. or contact the center directly.

Ask a Professional

How long does drug rehab take to complete?
  • Outpatient – Ranges from 4-12 weeks, with a couple of hours each day spent receiving care. The length of time in outpatient depends on the needs of the client.
  • Detox – 1-2 weeks depending on the type and amount of substances the client is using.
  • Short-term inpatient – 28 days is the standard length of treatment for most short-term programs
  • Long-term Residential– The length of these programs usually ranges from 8-12 weeks. Still, it can go upwards to a year or even longer in some cases.
Can I force my loved one to go to treatment?

While it may seem that your loved one does not want help, there are ways to convince them to get treatment. Medical professionals and certified interventionists are trained in helping people realize they need to go to rehab. Enlisting their help can make a difference in someone gaining sobriety.

What do I do after being placed on a waiting list to attend rehab?
  • Understand the risk associated with coming off your drug of choice. Stopping alcohol, benzos, or opiates requires medical supervision, so consult a medical professional before completely stopping your substance use.
  • Check-in regularly with the rehab center and ensure you follow their guidelines to stay on the waiting list. Some centers require you to check in daily to remain on the list.
  • Understand that the wait time you are told is generally a worst-case scenario. Beds can open faster than expected, and you can sometimes get in sooner than you were initially told.
  • Consider getting on multiple waiting lists to better your chances of getting into treatment faster.
  • Utilize the time to your advantage. Examples of this are planning with your employer, handling your living situation, or settling any financial obligations. Taking the time to manage responsibilities before entering treatment ensures you will stay focused on your recovery and have less attention on things outside of treatment.
Does my insurance cover rehab?
  1. Call the help number on the back of your insurance card. It will connect you to someone who can go over your coverage options for drug and alcohol rehab.
  2. Give your insurance information to the center you are interested in attending. They can check how much coverage you will receive.

It is important to understand that just because you have coverage does not guarantee your claim will be approved. The person attending rehab must be deemed to have a medical necessity for treatment. If this is not established, then it’s possible insurance will not pay. During the admissions process, it is vital to ask the intake counselor how the facility handles a patient who does not meet medical necessity.

I already went to treatment before and relapsed. Is it worth going back?
  • Contact the treatment center aftercare services or graduate helpline. Discuss the circumstances of the relapse.
  • Consider attending a 12-step meeting or support group.
  • Outpatient programs provide excellent aftercare support.
  • If relapses occur frequently, it would be time to return to a residential program.

The reality of recovery is relapse happens. Yet, how an individual handles the relapse determines the outcome. Keep pushing forward, reach out to other sober people, be grateful, and focus on the positive.

Want to know more?

Addicted.org'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.

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.

What's Next?

After attending long-term drug rehab in North Carolina, it is crucial to receive aftercare to maintain sobriety and reinforce what you learned during treatment. Inpatient drug rehab is effective, but it takes place in a sheltered environment where there is always support. As individuals transition back into their lives after rehab, some stressors and responsibilities may be difficult to deal with. Outpatient aftercare programs, sober living facilities, and other support services are available in North Carolina to make your transition easier.

Get help for veterans


Marcel Gemme, DATS

Marcel Gemme, DATS


on August 12, 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 August 12, 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.