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10 Best Methadone Clinics in South Carolina (2026)

We list 26 methadone clinics in South Carolina, based on SAMHSA's FindTreatment.gov data, with the most in Greenville (2), West Columbia (2), and Florence (2). Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 26Treatment facilities
  • 5Offer detox
  • 1Inpatient / residential
  • 26Accept Medicaid

Methadone Clinic (OTP): the basics

A methadone clinic, formally called an opioid treatment program (OTP), is a federally certified clinic that treats opioid use disorder with medication, mainly methadone. You visit to take a supervised dose and get counseling and medical care. Under 2024 federal rules, stable patients can earn take-home doses sooner. Search below to find methadone clinics near you. Read the full guide →

2026 rankings

Top 10 methadone clinics in South Carolina

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. Ascent Recovery Solutions

    Simpsonville, SC

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    5.0Google57 reviews

    Best for: Supervised detoxJoint Commission

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

    View details
  2. Myrtle Beach Treatment Specialists

    Myrtle Beach, SC

    8.1ExcellentStartDrugRehab Score 8.1 out of 10
    4.7Google66 reviews

    Best for: Supervised detoxCARF

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

    View details
  3. BHG Charleston Treatment Center

    North Charleston, SC

    7.9Very goodStartDrugRehab Score 7.9 out of 10
    4.3Google54 reviews

    Best for: Supervised detoxJoint Commission

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

    View details
  4. Sumter Treatment Specialists

    Sumter, SC

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.6Google15 reviews

    Best for: Methadone treatmentCARF

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

    View details
  5. Florence Treatment Specialists

    Florence, SC

    7.6Very goodStartDrugRehab Score 7.6 out of 10
    4.5Google28 reviews

    Best for: Methadone treatmentCARF

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

    View details
  6. Columbia Metro Treatment Center – Metro Treatment of South Carolina LP

    West Columbia, SC

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    3.4Google35 reviews

    Best for: Supervised detoxCARF

    Why it made our list: CARF accredited; offers detox, IOP, outpatient care, and MAT; accepts Medicaid, Medicare, and TRICARE.

    View details
  7. Rock Hill Treatment Specialists

    Rock Hill, SC

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    4.6Google54 reviews

    Best for: Methadone treatmentCARF

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

    View details
  8. Charleston Center of Charleston County

    North Charleston, SC

    7.4Very goodStartDrugRehab Score 7.4 out of 10
    3.1Google87 reviews

    Best for: Detox and residential careCARF

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

    View details
  9. BHG Aiken Treatment Center

    Aiken, SC

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    4.5Google26 reviews

    Best for: Methadone treatmentJoint Commission

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

    View details
  10. Georgetown Treatment Specialists

    Georgetown, SC

    7.3Very goodStartDrugRehab Score 7.3 out of 10
    4.2Google5 reviews

    Best for: Methadone treatmentCARF

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

    View details

See the best rehab centers in South Carolina →

Cities with methadone clinics in SC

All methadone clinics in South Carolina

Charleston Center of Charleston County

North Charleston, SC 29405

7.4Very goodStartDrugRehab Score 7.4 out of 10
3.1Google87 reviews

CARF accredited

Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Intensive Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Ascent Recovery Solutions

Simpsonville, SC 29680

8.3ExcellentStartDrugRehab Score 8.3 out of 10
5.0Google57 reviews

Joint Commission 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.

BHG Charleston Treatment Center

North Charleston, SC 29405

7.9Very goodStartDrugRehab Score 7.9 out of 10
4.3Google54 reviews

Joint Commission 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.

Myrtle Beach Treatment Specialists

Myrtle Beach, SC 29577

8.1ExcellentStartDrugRehab Score 8.1 out of 10
4.7Google66 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

BHG Aiken Treatment Center

Aiken, SC 29801

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.5Google26 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Florence Treatment Specialists

Florence, SC 29505

7.6Very goodStartDrugRehab Score 7.6 out of 10
4.5Google28 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Georgetown Treatment Specialists

Georgetown, SC 29440

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.2Google5 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

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

Sumter Treatment Specialists

Sumter, SC 29150

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.6Google15 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

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

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.1Google39 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Center of HOPE of Myrtle Beach LLC

Myrtle Beach, SC 29579

7.1Very goodStartDrugRehab Score 7.1 out of 10
4.3Google296 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.1Very goodStartDrugRehab Score 7.1 out of 10
5.0Google4 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Self-pay

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

Crossroads Treatment Centers

Columbia, SC 29201

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.3Google94 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.6Google195 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.9GoodStartDrugRehab Score 6.9 out of 10
4.1Google56 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.1Very goodStartDrugRehab Score 7.1 out of 10
4.4Google112 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

6.8GoodStartDrugRehab Score 6.8 out of 10
3.7Google7 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Self-pay +1 more

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

Greenwood Treatment Specialists

Greenwood, SC 29646

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.2Google48 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Lancaster Treatment Specialists

Lancaster, SC 29720

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.7Google12 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Lexington Treatment Specialists

West Columbia, SC 29169

7.1Very goodStartDrugRehab Score 7.1 out of 10
4.4Google59 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

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

6.9GoodStartDrugRehab Score 6.9 out of 10
3.7Google46 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Rock Hill Treatment Specialists

Rock Hill, SC 29730

7.5Very goodStartDrugRehab Score 7.5 out of 10
4.6Google54 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.7Google100 reviews

CARF accredited

Setting
—
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

Starting Point of Darlington

Hartsville, SC 29550

6.9GoodStartDrugRehab Score 6.9 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Starting Point of Florence PC

Florence, SC 29501

6.9GoodStartDrugRehab Score 6.9 out of 10
4.1Google125 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

More options in South Carolina

Methadone Clinics in other states

Frequently asked questions

How many methadone clinics are in South Carolina?

We list 26 methadone clinics in South Carolina, based on SAMHSA's FindTreatment.gov data (updated October 2026).

Which South Carolina cities have the most methadone clinics?

The most listings are in Greenville (2), West Columbia (2), and Florence (2).

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.