Drug and Alcohol Rehab in North Carolina

Treatment Facilities by City in North Carolina

The North Carolina cities with the most SAMHSA-listed substance use treatment facilities. All 134 cities are listed below the table. Each city page lists its facilities with services, payment and phone numbers.

State Treatment Agency

Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMHDDSUS), NC Department of Health and Human Services oversees substance use treatment in North Carolina.

• Division of Mental Health, Developmental Disabilities, and Substance Use Services , NC Department of Health and Human Services website
• Get treatment help from the North Carolina agency

North Carolina Treatment Helpline

NC Peer Warmline: 855-PEERS-NC, 24/7.

• About NC Peer Warmline

Treatment if You Don't Have Insurance

Local Management Entities/Managed Care Organizations (LME/MCOs) serve people without insurance and people whose insurance doesn't cover everything they need, as well as people with Medicaid Tailored Plans. Each county is served by one LME/MCO.

• North Carolina state-funded treatment

Medicaid Coverage for Addiction Treatment in North Carolina

North Carolina's Medicaid program is NC Medicaid. North Carolina has expanded Medicaid, so adults with low incomes can qualify based on income alone. Its Section 1115 waiver (North Carolina Medicaid Reform Demonstration (SUD component)) expands substance use treatment coverage. Covered services listed by the state include: Ambulatory withdrawal management (outpatient detox); Ambulatory withdrawal management with extended on-site monitoring; Clinically managed residential withdrawal management (social setting detox); Medically monitored inpatient withdrawal management (non-hospital medical detox).

• NC Medicaid substance use coverage
• Section 1115 waiver details (Medicaid.gov)
• North Carolina Medicaid eligibility

Check a Program's License

Before you choose a program, confirm it is licensed using the NC DHSR Mental Health Licensure and Certification: licensed facilities list.

• NC DHSR Mental Health Licensure and Certification: licensed facilities list

Naloxone (Narcan)

Naloxone is available under the statewide standing order, without a prescription, at the majority of retail pharmacies in North Carolina, and at many syringe services programs and local health departments at no or low cost. Naloxone nasal spray is also sold over the counter nationwide.

• North Carolina naloxone information

Good Samaritan Overdose Law

A person who seeks medical help for someone having a drug overdose, and the overdose victim, are protected from prosecution for small-amount drug possession and paraphernalia charges when the evidence was found because help was sought. (N.C. Gen. Stat. 90-96.2)

• North Carolina Good Samaritan law

Involuntary Treatment and Protective Custody

Involuntary commitment of substance abusers (N.C. Gen. Stat. 122C-281 and following): Anyone who knows of a person with a substance use disorder who is dangerous to self or others can file an affidavit and petition with a clerk of superior court or magistrate, who can order the person taken into custody for examination.

• Involuntary commitment of substance abusers (N.C. Gen. Stat. 122C-281 and following)

Guides for Your Next Step

Learn what detox, inpatient rehab and outpatient rehab involve, how medication for opioid use disorder works, and how to find rehab that takes Medicaid or free and low-cost rehab. Before you commit, read how to choose a rehab you can trust.

Frequently Asked Questions