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Pathway Recovery

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

Helpline

Map of treatment centers in North Carolina

400 locations with a mapped address. Select a marker to open its page.

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Free & confidential · 24/7 · Insurance verified while you are on the line.

(229) 540-1666

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.