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6 Best MAT Programs in Wilmington, NC (2026)

We list 6 mat programs in Wilmington, NC, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 6Treatment facilities
  • 1Offer detox
  • 1Inpatient / residential
  • 5Accept Medicaid

Medication-Assisted Treatment (MAT): the basics

Medication-assisted treatment (MAT) uses FDA-approved medications, usually alongside counseling, to treat opioid and alcohol use disorders. For opioids, the options are buprenorphine (including Suboxone), methadone and naltrexone. These medications ease cravings and withdrawal, help prevent a return to use and lower overdose risk. Search below to find MAT and Suboxone clinics near you. Read the full guide →

2026 rankings

Top 6 MAT programs in Wilmington, NC

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. A Brighter Start – Health and Wellness

    Wilmington, NC

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    4.6Google112 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.

    View details
  2. Wilmington Treatment Center

    Wilmington, NC

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    3.8Google527 reviews

    Best for: Detox and residential careJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  3. Reflections of Hope LLP

    Wilmington, NC

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    4.5Google16 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts Medicaid, Medicare, and self-pay.

    View details
  4. Coastal Horizons Center Inc

    Wilmington, NC

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    2.8Google90 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  5. New Hanover Metro Treatment Center – Metro Treatment of North Carolina LP

    Wilmington, NC

    6.8GoodStartDrugRehab Score 6.8 out of 10
    3.2Google30 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  6. CapeSide PLLC

    Wilmington, NC

    5.7FairStartDrugRehab Score 5.7 out of 10
    3.4Google137 reviews

    Best for: Outpatient care with MAT

    Why it made our list: Offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicare, and TRICARE.

    View details

See the best rehab centers in Wilmington, NC →

All MAT programs in Wilmington, NC

Wilmington Treatment Center

Wilmington, NC 28401

7.9Very goodStartDrugRehab Score 7.9 out of 10
3.8Google527 reviews

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.

8.3ExcellentStartDrugRehab Score 8.3 out of 10
4.6Google112 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

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

Coastal Horizons Center Inc

Wilmington, NC 28412

7.0Very goodStartDrugRehab Score 7.0 out of 10
2.8Google90 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

Reflections of Hope LLP

Wilmington, NC 28403

7.4Very goodStartDrugRehab Score 7.4 out of 10
4.5Google16 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay +1 more

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

CapeSide PLLC

Wilmington, NC 28405

5.7FairStartDrugRehab Score 5.7 out of 10
3.4Google137 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicare · Private insurance · TRICARE +1 more

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

More options in Wilmington, NC

MAT Programs in other North Carolina cities

Frequently asked questions

How many mat programs are in Wilmington, NC?

We list 6 mat programs in Wilmington, NC, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.