Find Treatment Centers in North Carolina
605 SAMHSA-verified facilities. 3,867 annual opioid deaths. Help is available — and it works.
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
Monarch BH Guilford
Greensboro, NC
Private mental health facility providing outpatient care for all ages with comprehensive therapy services, LGBTQ support, trauma treatment, and more.
Monarch BH Lincolnton
NC
A private outpatient center providing comprehensive mental health and substance use treatment for adults, children/adolescents, and seniors.
Monarch BH Nash
Rocky Mount, NC
Private residential and outpatient center providing comprehensive mental health and substance use treatment, trauma-informed care, and personalized therapy plan...
Monarch BH Robeson
Lumberton, NC
Integrative outpatient care with screening for mental disorders, group counseling, and comprehensive substance use assessment for adults and adolescents.
Monarch BH Scotland
Laurinburg, NC
Private non-profit organization offering comprehensive outpatient care for adults with mental health and substance use disorders. LGBTQ-friendly with trauma-inf...
Monarch BH Stanly
Albemarle, NC
An outpatient mental health facility providing comprehensive treatment for addiction, mental health, trauma, and co-occurring disorders with personalized care.
Monarch BH Wake 1
Raleigh, NC
A private non-profit organization offering comprehensive mental health and substance use services for a wide range of clients.
Monarch BH Wake 2
Cary, NC
A non-profit outpatient center providing comprehensive treatment for substance use, mental health, trauma, and co-occurring disorders.
Monarch BH Wake 4
Fuquay Varina, NC
Integrative outpatient center providing comprehensive care for adults with co-occurring mental health and substance use disorders.
Monarch BH Wake 5
Zebulon, NC
Integrative outpatient care with trauma-informed approach for addiction, mental health, eating disorders, and co-occurring conditions.
Monarch BH Wilson
Wilson, NC
A comprehensive outpatient center for children, adolescents, young adults, seniors, LGBTQ+, veterans, with therapy and treatment for various mental health condi...
Monarch Cleveland
Shelby, NC
A non-profit outpatient mental health facility with specialized services for seniors, military members, LGBTQ individuals, and clients with co-occurring disorde...
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
| Program | Duration | Cost Range | Best For |
|---|---|---|---|
| Medical Detox | 5–10 days | $1,000–$5,000 | Alcohol, opioid, benzo withdrawal |
| Inpatient Rehab | 28–90 days | $6,000–$30,000 | Severe addiction, co-occurring disorders |
| PHP (Partial Hospitalization) | 2–4 weeks | $3,000–$10,000 | Step-down from inpatient, intensive support |
| IOP (Intensive Outpatient) | 2–4 months | $3,000–$10,000 | Work/school compatibility, 9-20 hrs/week |
| Outpatient | 3–12 months | $1,400–$10,000 | Mild-moderate, stable housing |
| MAT | 6–24+ months | $5,000–$15,000/yr | Opioid 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.
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.
Treatment FAQ — North Carolina
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Does Medicaid cover rehab in North Carolina?
What types of treatment are available in North Carolina?
Are there free rehab centers in North Carolina?
What is the overdose crisis in North Carolina?
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Looking in Nearby States?
Explore treatment options in states neighboring North Carolina.