Skip to main content
Pathway Recovery
Pathway Recovery

First Step Services

Cary, North Carolina
Photograph not available

Address, phone and website

As recorded in the SAMHSA directory. Phone lines and addresses change, so confirm on the facility website before you travel.

Address128 Quade Drive, Cary, NC 27513 · Get directions
Phone on record(919) 651-8349
Websitefirststepnc.com
Federal listingFindTreatment.gov, the treatment locator run by SAMHSA

Where this facility is

Location as recorded in the SAMHSA directory.

About First Step Services

First Step Services delivers quality behavioral health and substance abuse treatment services to the Cary, North Carolina area. The center's experienced staff utilizes evidence-based practices to help clients build a strong foundation for long-term recovery.

Typical stay: 30 days

Services and programs

Profile as recorded in the SAMHSA Treatment Services Locator. Confirm current availability with the facility.

Type of Care
Substance use treatment
Service Setting
Outpatient · Intensive outpatient treatment · Regular outpatient treatment
Opioid Medications used in Treatment
Naltrexone used in Treatment
External Opioid Medications Source
No formal relationship with prescribing entity
Type of Alcohol Use Disorder Treatment
This facility administers/prescribes medication for alcohol use disorder
External Source of Medications Used for Alcohol Use Disorder Treatment
In-network prescribing entity · No formal relationship with prescribing entity
Type of Opioid Treatment
Relapse prevention with naltrexone · Accepts clients using MAT but prescribed elsewhere
Pharmacotherapies
Acamprosate (Campral®) · Disulfiram · Naltrexone (oral) · Medication for mental disorders · Non-nicotine smoking/tobacco cessation
Treatment Approaches
Brief intervention · Cognitive behavioral therapy · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Telemedicine/telehealth therapy · Trauma-related counseling
Facility Operation
Private for-profit organization
License/Certification/Accreditation
State Substance use treatment agency · State mental health department · State department of health · Commission on Accreditation of Rehabilitation Facilities (CARF)
Payment/Insurance/Funding Accepted
Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid

Payment and insurance at First Step Services

Payment typeIn the SAMHSA profile
MedicaidNot listed
MedicareNot listed
Private health insuranceListed
Military insurance (TRICARE)Not listed
State-financed plan other than MedicaidListed
Cash or self-paymentListed
Sliding fee scaleListed
Full payment list on record

Private health insurance, Cash or self-payment and State-financed health insurance plan other than Medicaid. Payment assistance: Sliding fee scale (fee is based on income and other factors).

“Listed” means the facility reported that payment type to SAMHSA. It does not mean your plan is in network, so ask before the first visit. Marketplace plans must cover substance use treatment as an essential health benefit: HealthCare.gov.

How this program compares in North Carolina

First Step Services lists 6 of the 17 services and payment options we track. The least common of them in North Carolina is sliding fee scale: 85 of 478 programs list it.

Sliding fee scale18%CARF accreditation22%Intensive outpatient (IOP)23%Telehealth therapy74%Accepts private health insurance75%Outpatient treatment85%
Listed by this facilityNorth Carolina programs that list it
Sliding fee scale85 of 478 programs (18%)
CARF accreditation106 of 478 programs (22%)
Intensive outpatient (IOP)112 of 478 programs (23%)
Telehealth therapy354 of 478 programs (74%)
Accepts private health insurance357 of 478 programs (75%)
Outpatient treatment405 of 478 programs (85%)

Our count, October 9, 2026. We read the SAMHSA service profile of every North Carolina program in the directory: 478 of 606 have one. A program is counted when the service appears in its profile word for word. All North Carolina programs.

Common questions about First Step Services

Answers come from this facility’s record in the SAMHSA directory. Where the record is silent, there is no answer here.

Where is First Step Services located?

First Step Services is at 128 Quade Drive, Cary, NC 27513. This is the address on record in the federal SAMHSA directory.

What treatment does First Step Services provide?

Type of care on record: Substance use treatment. Settings on record: Outpatient, Intensive outpatient treatment and Regular outpatient treatment.

Does First Step Services offer methadone or buprenorphine?

Yes. Opioid treatment on record: Relapse prevention with naltrexone and Accepts clients using MAT but prescribed elsewhere. Read how opioid treatment works.

Does First Step Services offer detox?

No detox service is listed in the profile of First Step Services. In North Carolina, 54 of 478 programs with a profile list detox; see the North Carolina page. Background: medical detox.

Does First Step Services accept Medicaid, Medicare or private insurance?

In the SAMHSA profile: Medicaid is not listed, Medicare is not listed and private health insurance is listed. The payment table has the full list. Plans differ, so ask the facility whether it is in your network. Our insurance guides explain what to ask.

Who does First Step Services treat?

Age groups accepted: Young Adults and Adults. Sex accepted: Female and Male. Programs or groups on record: Criminal justice (other than DUI/DWI)/Forensic clients.

Is First Step Services licensed or accredited?

The profile lists: State Substance use treatment agency, State mental health department, State department of health and Commission on Accreditation of Rehabilitation Facilities (CARF). Operated as: Private for-profit organization.

How do I contact First Step Services?

The phone on record is (919) 651-8349. Website: firststepnc.com. Pathway Recovery is a directory and does not answer calls for this facility.

Nearby Treatment Centers in North Carolina

Closest listed facilities, by straight-line distance from this address.

One of 8 treatment facilities listed in Cary, NC.