Find Treatment Centers in North Carolina

605 SAMHSA-verified facilities. 3,867 annual opioid deaths. Help is available — and it works.

✓ Medicaid Expanded Naloxone: standing order ✓ Good Samaritan Law
605
Centers
40.5
OD Rate/100k
3,867
Opioid Deaths/yr
#13
National Rank
(833) 546-3513 Free · Confidential · 24/7

Quick answer: North Carolina has 605 verified treatment centers. Medicaid is expanded — many programs are free or low-cost for eligible residents. The overdose rate is 40.5/100k (#13 nationally, above the national average of 33.1). Top cities: Charlotte, Greensboro, Statesville. Need help? Call (833) 546-3513.

Treatment Centers in North Carolina

605 facilities found

All Cities
Charlotte (64)
Greensboro (45)
Statesville (34)
Reidsville (32)
Raleigh (29)
Durham (18)
Roanoke Rapids (15)
Indian Trail (15)
All Types
Co-Occurring Mental Health
Detox
Outpatient
Residential Rehab
Sober Living
All Insurance
Aetna
Anthem
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Bright Health
CareFirst
Carelon Behavioral Health
Cigna
ComPsych
GuideWell
HealthNet
HealthPartners
Highmark
Humana
ITU Funds
Intermountain Healthcare
Kaiser Permanente
MHN
Medicaid
Medicare
Optum
Oscar
Tricare
Tufts Health
United Healthcare
NC

Carolina Outreach Smithfield

NC

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Carolina Outreach Smithfield, situated in North Carolina, provides tailored treatment for substance use and mental health conditions. Although specific details...

Men Women
View Profile → (833) 546-3513
NC

Carolina Performance

Raleigh, NC

Co-Occurring Mental Health Outpatient Detox Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

A private outpatient center providing comprehensive substance use treatment, mental health services, trauma-informed care, and personalized treatment plans.

Twelve Step Men Women
View Profile → (833) 546-3513
NC

Carter Clinic

Smithfield, NC

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Comprehensive outpatient center offering trauma-related counseling, substance use treatment, and mental health services for adults and adolescents.

Men Women
View Profile → (833) 546-3513
NC

Carter Clinic

Smithfield, NC

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Private outpatient center providing comprehensive mental health and substance use treatment for all ages, including LGBTQ individuals and veterans.

Men Women
View Profile → (833) 546-3513
NC

Center for Alcohol and Drug Services Country Oaks Davenport

Asheboro, NC

Residential Rehab Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

The Center for Alcohol and Drug Services, Country Oaks in Asheboro, North Carolina, provides essential outpatient substance use treatment to individuals looking...

Twelve Step Men Women
View Profile → (833) 546-3513
NC

Center for Alcohol and Drug Services Fairmount Office Davenport

Asheboro, NC

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

The Center for Alcohol and Drug Services Fairmount Office in Asheboro, NC, is dedicated to providing essential outpatient substance use treatment. With therapie...

Twelve Step Men Women
View Profile → (833) 546-3513
NC

Chatham Recovery

Siler City, NC

Co-Occurring Mental Health Outpatient Detox Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Integrated outpatient center providing comprehensive mental health assessment, group counseling, and medication management for addiction and co-occurring disord...

Twelve Step Men Women
View Profile → (833) 546-3513
NC

Child and Family

Charlotte, NC

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Located in Charlotte, NC, Child and Family is dedicated to fostering mental wellness for all ages, from children through seniors. By utilizing a comprehensive o...

Men Women
View Profile → (833) 546-3513
NC

Childrens Hospital New Orleans Behavioral Health Hospital

Greensboro, NC

Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Children's Hospital New Orleans Behavioral Health Hospital in Greensboro, NC, serves as a critical resource for diverse populations, including children and adol...

Adolescents Children
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NC

Coastal Horizons

Shallotte, NC

Co-Occurring Mental Health Outpatient Detox Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Private non-profit outpatient center offering comprehensive substance use treatment with SAMHSA certification and medication-assisted treatment for adults.

Men Women
View Profile → (833) 546-3513
NC

Coastal Horizons Center

Wilmington, NC

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Nestled in the vibrant community of Wilmington, NC, Coastal Horizons Center serves as a vital resource for adults grappling with both mental health issues and s...

Twelve Step Men Women
View Profile → (833) 546-3513
NC

Coastal Horizons Center

Wilmington, NC

Co-Occurring Mental Health Outpatient Verified
Aetna · Anthem · BlueCross BlueShield · Bright Health +20

Integrated outpatient center offering LGBTQ-inclusive care for adults with trauma counseling, employment support, and comprehensive substance use treatment.

Twelve Step Men Women
View Profile → (833) 546-3513

Addiction Treatment in North Carolina: What You Need to Know

North Carolina has 605 SAMHSA-verified treatment facilities serving a population of 10,835,000. That's approximately 5.6 facilities per 100,000 residents. The state's drug overdose death rate of 40.5 per 100,000 is above the national average of 33.1 — ranking #13 nationally. With 3,867 opioid-related deaths reported annually, access to evidence-based treatment programs remains critical.

Insurance & Medicaid Coverage in North Carolina

North Carolina has expanded Medicaid under the ACA, significantly broadening access to addiction treatment for low-income adults earning up to 138% of the federal poverty level (~$20,783/year for an individual). Covered services typically include medical detox, inpatient/residential rehab, outpatient counseling, and medication-assisted treatment (MAT). In addition to Medicaid, most private insurance plans — including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and Humana — are required by the Mental Health Parity Act to cover substance use disorder treatment at parity with medical care.

The Overdose Crisis in North Carolina

North Carolina reports 3,867 opioid-related deaths annually with an overdose rate of 40.5/100k (above the 33.1 national average by 22%). Substance use disorder affects approximately 7.1% of adults in the state (national average: 7.2%). North Carolina has enacted a Good Samaritan law that protects individuals who call 911 during an overdose emergency from certain criminal charges — encouraging bystanders to seek help. Naloxone (Narcan), the opioid overdose reversal medication, is available via standing order in North Carolina, making it accessible without an individual prescription.

Types of Treatment Available

ProgramDurationCost RangeBest For
Medical Detox5–10 days$1,000–$5,000Alcohol, opioid, benzo withdrawal
Inpatient Rehab28–90 days$6,000–$30,000Severe addiction, co-occurring disorders
PHP (Partial Hospitalization)2–4 weeks$3,000–$10,000Step-down from inpatient, intensive support
IOP (Intensive Outpatient)2–4 months$3,000–$10,000Work/school compatibility, 9-20 hrs/week
Outpatient3–12 months$1,400–$10,000Mild-moderate, stable housing
MAT6–24+ months$5,000–$15,000/yrOpioid use disorder, relapse prevention

Medicaid covers most programs for eligible residents. Call (833) 546-3513 for free insurance verification.

Where to Find Help in North Carolina

Treatment facilities in North Carolina are concentrated in urban areas, with Charlotte leading with 64 centers, followed by Greensboro (45) and Statesville (34). For residents in rural areas, telehealth addiction counseling and out-of-area programs provide alternatives. Browse our full North Carolina directory to filter by city, treatment type, and insurance accepted.

Medical Disclaimer: This page provides educational information and is not a substitute for professional medical advice. If experiencing a medical emergency, call 911. For immediate treatment guidance, contact SAMHSA's National Helpline at 1-800-662-4357 (free, confidential, 24/7, English/Spanish).

Last updated: March 2026 · Written by the RehabHive Editorial Team · Sources: SAMHSA, CDC WONDER, KFF

Check Your Insurance Coverage in North Carolina

Medicaid expanded — most plans cover treatment. Verify your benefits — free and confidential.

Verify Now

Treatment FAQ — North Carolina

How many rehab centers are in North Carolina?
North Carolina has 605 SAMHSA-verified treatment facilities, including inpatient, outpatient, detox, and MAT programs. The largest concentration is in Charlotte with 64 centers.
How much does rehab cost in North Carolina?
Outpatient: $5,000–$10,000. IOP: $3,000–$10,000. Residential: $10,000–$30,000+ for 30 days. North Carolina expanded Medicaid covers most costs for eligible residents. Call (833) 546-3513 for free insurance verification.
Does Medicaid cover rehab in North Carolina?
Yes. North Carolina expanded Medicaid under the ACA, covering detox, inpatient, outpatient, and MAT for adults under 138% FPL (~$20,783/year).
What types of treatment are available in North Carolina?
Programs include: medical detox (5–10 days), inpatient/residential (28–90 days), PHP (6+ hours daily), IOP (9–20 hours/week), standard outpatient (1–2 sessions/week), and MAT (buprenorphine, methadone, naltrexone).
Are there free rehab centers in North Carolina?
Yes. Medicaid covers treatment for eligible residents. SAMHSA-funded facilities provide sliding-scale services. State behavioral health programs serve uninsured residents. Some nonprofit/faith-based programs offer free treatment. Call (833) 546-3513 for help.
What is the overdose crisis in North Carolina?
North Carolina ranks #13 nationally with 40.5/100k overdose deaths (national avg: 33.1). Approximately 3,867 opioid deaths/year. Good Samaritan law protects callers. Naloxone: standing order.
Can I travel to North Carolina for rehab?
Yes. North Carolina (South region) welcomes out-of-state patients. Many insurance plans cover out-of-network treatment. Distance from triggers can benefit recovery. Call (833) 546-3513 to verify coverage.
How do I choose the right rehab in North Carolina?
Look for: (1) CARF/Joint Commission accreditation, (2) evidence-based therapies (CBT, DBT, MI), (3) insurance acceptance, (4) specializations (dual diagnosis, gender-specific), (5) aftercare planning. Call (833) 546-3513 for personalized guidance.
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