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Drug & Alcohol Rehab in North Carolina

North Carolina offers every level of addiction care, from medical detox and residential rehab to outpatient and opioid treatment programs. NC Medicaid expanded on December 1, 2023, Tailored Plans serve members with severe substance use disorders, and the Division of Health Service Regulation (DHSR) licenses treatment facilities.

Rehab centers by city in North Carolina

All 137 cities

By type of treatment

By payment option

For specific groups

Treatment centers in North Carolina

Fellowship Hall Inc

Greensboro, NC 27405

Joint Commission accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +7 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

Wilmington Treatment Center

Wilmington, NC 28401

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +5 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Daymark Recovery Services

North Wilkesboro, NC 28659

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Monarch – Tanglewood Arbor

Lumberton, NC 28358

Joint Commission accredited · NCQA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Pavillon

Mill Spring, NC 28756

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Intensive Outpatient
  • +4 more

Payment accepted

Private insurance · Self-pay

“Get help” calls our free helpline, not this facility.

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

RHA Health Services

Lenoir, NC 28645

CARF accredited · COA accredited · NCQA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Addiction Recovery Care Association

Winston Salem, NC 27105

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

“Get help” calls our free helpline, not this facility.

Blanchard Institute

Huntersville, NC 28078

Joint Commission accredited · CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +5 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

Blanchard Institute

Charlotte, NC 28210

Joint Commission accredited · CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +5 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

Phoenix Counseling Center

Shelby, NC 28150

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

Addiction Recovery Medical Services

Statesville, NC 28625

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Addiction Recovery Medical Services

Taylorsville, NC 28681

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

CARF accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Self-pay · Sliding scale +1 more

“Get help” calls our free helpline, not this facility.

Behavioral Health Hospital

Greensboro, NC 27403

Joint Commission accredited · NCQA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Hospital Inpatient
  • Partial Hospitalization
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

BrightView Health – Salisbury

Salisbury, NC 28147

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

Changing Tides

Kitty Hawk, NC 27949

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +3 more

Payment accepted

Private insurance · Self-pay

“Get help” calls our free helpline, not this facility.

Chatham Recovery PLLC

Siler City, NC 27344

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Coastal Horizons Inc

Shallotte, NC 28470

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Focused Addiction Recovery

Wallace, NC 28466

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Partial Hospitalization
  • Intensive Outpatient
  • +4 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Freedom Detox

Gastonia, NC 28054

CARF accredited

Setting
Inpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

“Get help” calls our free helpline, not this facility.

Johnston Recovery Services

Clayton, NC 27520

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

How does NC Medicaid cover addiction treatment?

NC Medicaid covers substance use disorder treatment for eligible members, including outpatient care, residential treatment, detox and medication for opioid use disorder. North Carolina expanded Medicaid on December 1, 2023, opening coverage to many more adults ages 19 through 64.

Members with a severe substance use disorder or serious mental illness may be enrolled in a Tailored Plan, a type of NC Medicaid managed care plan that launched on July 1, 2024. Tailored Plans cover physical health, prescriptions and behavioral health services together. See North Carolina programs that accept Medicaid and state-funded options in North Carolina.

Have questions about Medicaid or private insurance? Call (877) 847-2855 to talk with our admissions helpline. It's free and confidential.

Who licenses rehabs in North Carolina?

The NC Division of Health Service Regulation (DHSR), through its Mental Health Licensure and Certification Section, licenses substance use treatment facilities under Chapter 122C of the state's General Statutes and the rules in 10A NCAC 27G. That includes residential programs, day treatment and outpatient opioid treatment programs.

Before you commit, ask the program for its DHSR license and confirm it covers the services you need. Accreditation from The Joint Commission or CARF is a good added sign. Our guide on how to choose a rehab explains other quality checks and red flags.

How does involuntary commitment work in North Carolina?

Families sometimes ask whether they can get help for a loved one who refuses treatment. G.S. 122C-281 allows involuntary commitment of a person with a substance use disorder in limited situations.

  • Who can file: Anyone who knows of a person with a substance use problem who is dangerous to themselves or others can sign a sworn affidavit.
  • Where: Before a clerk of superior court or a magistrate in the county where the person lives or is found.
  • What happens next: If the clerk or magistrate finds reasonable grounds, they issue a custody order so the person is examined by a commitment examiner. A court hearing follows if commitment is recommended.

The process is a legal proceeding, and the person has rights throughout. Contact your county clerk of court or an attorney for guidance. Our guide on how to help a loved one also covers non-legal approaches that encourage treatment.

What should you ask a North Carolina program before you enroll?

Before you agree to admission, ask:

  1. Is the program licensed by DHSR, and does that cover the services I need?
  2. Are you accredited by The Joint Commission or CARF?
  3. Do you accept my Medicaid plan or private insurance, and can you put my costs in writing?
  4. Do you offer or coordinate medication for opioid or alcohol use disorder?
  5. Can you treat co-occurring mental health conditions?
  6. How will you help me find outpatient care near home after discharge?

If you're worried about withdrawal, ask how the program handles medical detox. Withdrawal from alcohol and benzodiazepines can be life-threatening and should be medically supervised.

Where can you find treatment in North Carolina?

Major treatment hubs include:

  • Charlotte and the surrounding metro
  • The Triangle, including Raleigh, Durham and Chapel Hill
  • The Triad, including Greensboro, Winston-Salem and High Point
  • Asheville and Western North Carolina
  • Wilmington and the coast
  • Fayetteville and Eastern North Carolina

Use the filters on this page to find detox centers, residential programs, medication-assisted treatment or programs for veterans.

Should you get treatment in North Carolina or travel?

Staying in North Carolina is usually easiest if you have NC Medicaid, which generally covers in-state providers. If you have private insurance, check whether a program is in your network before traveling. Our guide on whether insurance covers rehab explains networks, deductibles and prior authorization. Learn more about Medicaid coverage in general.

Find the right program in North Carolina

Focus on licensing, the right level of care and a plan for aftercare. For help comparing programs and checking your coverage, call (877) 847-2855 to reach our admissions helpline. If you or someone you love is in danger, call 911, or call or text 988 for the Suicide & Crisis Lifeline.

Frequently asked questions

Does NC Medicaid cover rehab?

Yes. NC Medicaid covers substance use disorder treatment for eligible members. North Carolina expanded Medicaid on December 1, 2023, so many more adults ages 19 through 64 now qualify.

What is an NC Medicaid Tailored Plan?

Tailored Plans are NC Medicaid managed care plans, launched July 1, 2024, for members with severe substance use disorders, serious mental illness, intellectual or developmental disabilities, or traumatic brain injury. They cover physical and behavioral health together.

Who licenses rehabs in North Carolina?

The NC Division of Health Service Regulation (DHSR), Mental Health Licensure and Certification Section, licenses substance use treatment facilities under G.S. Chapter 122C and 10A NCAC 27G.

Can a family member get someone committed for addiction in North Carolina?

In limited cases. Under G.S. 122C-281, anyone who knows of a person with a substance use problem who is dangerous to self or others can file a sworn affidavit with a clerk of superior court or magistrate, who can order an examination.

How many drug and alcohol rehab centers are in North Carolina?

Our directory lists 430 licensed substance use treatment facilities in North Carolina, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.

Are there detox centers in North Carolina?

Yes. 71 programs in North Carolina offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.

Which rehabs in North Carolina accept NC Medicaid?

331 facilities in North Carolina report accepting Medicaid (NC Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.

Do rehabs in North Carolina take private insurance?

330 facilities in North Carolina accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (877) 847-2855 for a free insurance check.

Is there inpatient rehab in North Carolina?

59 facilities in North Carolina offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.

Can I get medication-assisted treatment (MAT) in North Carolina?

Yes. 300 programs in North Carolina use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.

Sources

  1. NC General Statutes § 122C-281
  2. NC DHSR – Establish a Mental Health, I/DD or Substance Abuse Service
  3. NCHA – NC Medicaid Expansion Toolkit
  4. ASAM – The ASAM Criteria