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10 Best Rehabs for Seniors in Wilmington, NC (2026)

We list 11 rehabs for seniors in Wilmington, NC, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 11Treatment facilities
  • 1Offer detox
  • 1Inpatient / residential
  • 9Accept Medicaid

Seniors: the basics

Rehab for seniors is addiction treatment adapted for older adults, who often face alcohol or prescription drug problems alongside chronic health conditions, multiple medications, grief and isolation. Age-specific programs move at a gentler pace and coordinate closely with medical care. Medicare covers many substance use services, including inpatient hospital care, outpatient counseling and opioid treatment programs. Read the full guide →

2026 rankings

Top 10 rehabs for seniors 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. Tree House Recovery NC

    Wilmington, NC

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    5.0Google37 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.

    View details
  4. Partial Hospital at Delta

    Wilmington, NC

    7.6Very goodStartDrugRehab Score 7.6 out of 10

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  5. Delta Behavioral Health

    Wilmington, NC

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    3.5Google64 reviews

    Best for: Intensive outpatient careCARF

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

    View details
  6. 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
  7. 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
  8. 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
  9. A Helping Hand of Wilmington

    Wilmington, NC

    6.4GoodStartDrugRehab Score 6.4 out of 10
    4.8Google80 reviews

    Best for: Low-cost outpatient care

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

    View details
  10. 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 rehabs for seniors 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.

Delta Behavioral Health

Wilmington, NC 28401

7.4Very goodStartDrugRehab Score 7.4 out of 10
3.5Google64 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Partial Hospital at Delta

Wilmington, NC 28401

7.6Very goodStartDrugRehab Score 7.6 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay

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

Tree House Recovery NC

Wilmington, NC 28401

7.7Very goodStartDrugRehab Score 7.7 out of 10
5.0Google37 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Private insurance · TRICARE · Self-pay +1 more

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

7.3Very goodStartDrugRehab Score 7.3 out of 10
3.4Google5 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 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.

A Helping Hand of Wilmington

Wilmington, NC 28403

6.4GoodStartDrugRehab Score 6.4 out of 10
4.8Google80 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

More options in Wilmington, NC

Rehabs for Seniors in other North Carolina cities

Frequently asked questions

How many rehabs for seniors are in Wilmington, NC?

We list 11 rehabs for seniors 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.