By State · SAMHSA-verified directory
Addiction treatment in North Carolina
606 verified treatment centers across North Carolina. Overdose rate 40.0 per 100,000 (CDC 2023) · Medicaid expanded.
606
Centers
164
Cities
Expanded
Medicaid
24/7
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Map of treatment centers in North Carolina
400 locations with a mapped address. Select a marker to open its page.
Treatment centers in North Carolina
Every listing sourced from SAMHSA Treatment Services Locator.
Lucy Daniels for Early Childhood
Cary, NC
Pyramid Asheville
Asheville, NC
One to One With Youth
Goldsboro, NC
JFK Alcohol and Drug Abuse Trt
Black Mountain, NC
Inspiration for Men
Henderson, NC
Daymark Recovery Services Harnett
Lillington, NC
Top Priority Care Services Winston-Salem
Winston Salem, NC
Sigma Health Services
Raleigh, NC
Marines Community Services Substance Assessment Counseling Center
Jacksonville, NC
Daymark Recovery Services Davidson Center
Lexington, NC
Lotus Life Center
Reidsville, NC
DREAM Provider Care Services Outpatient Treatment Center
Williamston, NC
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Cities in North Carolina with verified facilities
164 cities. Click through for city-specific listings.
Charlotte
52 centers
Raleigh
35 centers
Greensboro
26 centers
Durham
26 centers
Asheville
25 centers
Wilmington
21 centers
Fayetteville
19 centers
Greenville
17 centers
Winston Salem
14 centers
Gastonia
12 centers
Reidsville
11 centers
Lumberton
11 centers
Concord
9 centers
Statesville
8 centers
Morehead City
8 centers
Cary
8 centers
Shelby
7 centers
Morganton
7 centers
Jacksonville
7 centers
High Point
7 centers
Hickory
7 centers
Goldsboro
7 centers
Salisbury
6 centers
Henderson
6 centers
Monroe
5 centers
Lexington
5 centers
Lenoir
5 centers
Laurinburg
5 centers
Burlington
5 centers
Boone
5 centers
Wilson
4 centers
Smithfield
4 centers
Rocky Mount
4 centers
Rockingham
4 centers
Roanoke Rapids
4 centers
New Bern
4 centers
Mooresville
4 centers
Lincolnton
4 centers
Kinston
4 centers
Hendersonville
4 centers
Asheboro
4 centers
Williamston
3 centers
Thomasville
3 centers
Pinehurst
3 centers
North Wilkesboro
3 centers
Mill Spring
3 centers
Marion
3 centers
Indian Trail
3 centers
Garner
3 centers
Chapel Hill
3 centers
Candler
3 centers
Aberdeen
3 centers
Zebulon
2 centers
Winston-Salem
2 centers
Whiteville
2 centers
Weaverville
2 centers
Washington
2 centers
Walnut Cove
2 centers
Wake Forest
2 centers
Tarboro
2 centers
Spring Lake
2 centers
Shallotte
2 centers
Rutherfordton
2 centers
Roxboro
2 centers
Pineville
2 centers
Newland
2 centers
Mount Airy
2 centers
Mocksville
2 centers
Matthews
2 centers
Louisburg
2 centers
Lillington
2 centers
Knightdale
2 centers
Kernersville
2 centers
Granite Falls
2 centers
Elizabeth City
2 centers
Clayton
2 centers
Cashiers
2 centers
Camp Lejeune
2 centers
Brevard
2 centers
Apex
2 centers
Albemarle
2 centers
Ahoskie
2 centers
Yadkinville
1 centers
Willard
1 centers
West Jefferson
1 centers
Wendell
1 centers
Waynesville
1 centers
Warrenton
1 centers
Wallace
1 centers
Wadesboro
1 centers
Wade
1 centers
Troy
1 centers
Taylorsville
1 centers
Swansboro
1 centers
Swannanoa
1 centers
Supply
1 centers
Sparta
1 centers
Southern Pines
1 centers
Siler City
1 centers
Selma
1 centers
Sanford
1 centers
Rowland
1 centers
Rose Hill
1 centers
Rocky Point
1 centers
Ridgecrest
1 centers
Richlands
1 centers
Red Springs
1 centers
Raeford
1 centers
Plymouth
1 centers
Pleasant Hill
1 centers
Pilot Mountain
1 centers
Pembroke
1 centers
Orrum
1 centers
Norlina
1 centers
Nags Head
1 centers
N Mebane
1 centers
Morrisville
1 centers
Mills River
1 centers
Maxton
1 centers
Marshall
1 centers
Leland
1 centers
Leicester
1 centers
Lakeview
1 centers
Kitty Hawk
1 centers
Kings Mountain
1 centers
King
1 centers
Kenansville
1 centers
Kannapolis
1 centers
Jefferson
1 centers
Jamestown
1 centers
Huntersville
1 centers
Hookerton
1 centers
Hillsborough
1 centers
Graham
1 centers
Gold Hill
1 centers
Fuquay Varina
1 centers
Franklin
1 centers
Fairmont
1 centers
Erwin
1 centers
Elm City
1 centers
Ellenboro
1 centers
Edenton
1 centers
Eden
1 centers
ELIZABETH CITY
1 centers
Dunn
1 centers
Denver
1 centers
Davidson
1 centers
Dallas
1 centers
Creedmoor
1 centers
Clyde
1 centers
Clinton
1 centers
Carrboro
1 centers
Cameron
1 centers
Burgaw
1 centers
Browns Summit
1 centers
Brasstown
1 centers
Bladenboro
1 centers
Black Mountain
1 centers
Benson
1 centers
Bayboro
1 centers
Bakersville
1 centers
Bailey
1 centers
Ayden
1 centers
Arden
1 centers
Understanding treatment in North Carolina
Three things shape whether a person in North Carolina can access treatment: where they live in the state, what insurance they carry, and which clinician answers the first call. The 606 licensed facilities do not change that calculus; they constrain the choices within it.
The Medicaid question
The Medicaid story in North Carolina: North Carolina expanded Medicaid in 2023 under the Affordable Care Act. Has realistic access to Medicaid coverage for addiction treatment once enrolled. No individual clinical decision, no facility-level quality variation, changes the underlying math. States that expanded have a treatment system; states that did not have a triage system.
The overdose-mortality context
The overdose rate in North Carolina is 40.0 per 100,000 — a number that is rarely cited without caveat, because averages smooth out the specific places and specific populations where death concentrates. recent Medicaid expansion creates transitional growing pains in network capacity That geographic and demographic inequality is the thing the top-line number cannot tell you.
How access actually works in North Carolina
Inside the 606 licensed facilities in North Carolina, the clinical quality variation is substantial. The practical context here is that recent Medicaid expansion creates transitional growing pains in network capacity — which is why the difference between a well-run IOP and a fee-for-service residential chain that churns patients through 30-day cycles is not visible from the outside. It becomes visible when you ask the specific question: "Does this program offer buprenorphine for opioid use disorder?"
What to do next
Practically, three things happen next if someone in North Carolina is going to get help: a clinical assessment (by someone whose incentives are clinical, not financial), an insurance verification (in writing), and a facility selection (ASAM-aligned and MAT-inclusive). In that order. Reversing the order is the most common source of the "they said they took my insurance but I got a $15,000 bill" stories.
Last updated September 2026. Sources: SAMHSA Treatment Locator, CDC WONDER (overdose mortality 2023), KFF Medicaid Tracker, ASAM Criteria 4e. See our editorial policy.