Find Drug & Alcohol Detox Centers in North Carolina

Top Cities

Charlotte Raleigh Greensboro Durham Winston Salem Fayetteville

Detox Centers Near You

Featured Partners

Detox Centers in North Carolina

182 Results

Name	Address	Detox Service Setting	Levels Of Care
Absolute Advocacy	1923 J N Pease Place Charlotte, NC 28262	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Anuvia Prevention and Recovery Center	100 Billingsley Road Charlotte, NC 28211	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+3
Bethel Colony of Mercy	1675 Bethel Colony Rd Lenoir, NC 28645	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Carolina Center for Recovery	7349 Statesville Rd Charlotte, NC 28269	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Carolina Treatment Center of Fayetteville	3427 Melrose Road Fayetteville, NC 28304	Detox Service Setting Outpatient Detox	Levels Of Care Outpatient
Crest View Recovery Center Asheville	90 Asheland Avenue Asheville, NC 28801	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+4
Crossroads of Greensboro, NC	2706 North Church Street Greensboro, NC 27405	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientDual Diagnosis
Eleanor Health	2402 South Miami Boulevard Durham, NC 27703	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatient
Freedom Detox	1089 X Ray Drive Gastonia, NC 28054	Detox Service Setting Inpatient Detox	Levels Of Care InpatientAftercareDual Diagnosis
Freedom House Recovery Center, Inc.	104 New Stateside Drive Chapel Hill, NC 27516	Detox Service Setting Outpatient Detox	Levels Of Care Inpatient
Genesis DWI Services	319 Chapanoke Road Raleigh, NC 27603	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Harmony Recovery Center	11403 North Tryon Street Charlotte, NC 28262	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientPHP+3
Healing Transitions	3304 Glen Royal Rd Raleigh, NC 27617	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Healing Transitions Men Campus	1251 Goode Street Raleigh, NC 27603	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Healing Transitions Womens Campus	3304 Glen Royal Road Raleigh, NC 27617	Detox Service Setting Inpatient Detox	Levels Of Care Inpatient
Insight Human Services	665 West 4th Street Winston Salem, NC 27101	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientPHP+1
Insight Human Services Womens Recovery Center	723 Fairview Road Asheville, NC 28803	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+2
Insight Recovery Center Asheville	2123 Hendersonville Rd Arden, NC 28704	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Launch Pad	3150 Malpass Avenue Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Lifeline Treatment Center	5710 Oleander Drive Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+3

Drug & Alcohol Detox in North Carolina

North Carolina runs its substance use system through the Department of Health and Human Services (NCDHHS), Division of Mental Health, Developmental Disabilities, and Substance Use Services (DMH/DD/SUS), which sets standards and coordinates care across the state. Detox and treatment facilities are licensed by the NCDHHS Division of Health Service Regulation. Anyone choosing a detox center can begin with an assessment through a local provider or a Tailored Plan care manager.

North Carolina has expanded access to care substantially in recent years. The state expanded Medicaid on December 1, 2023, extending coverage to hundreds of thousands of adults, and Medicaid now covers the full continuum of substance use care through Standard Plans, Behavioral Health Tailored Plans, and NC Medicaid Direct. The state has also invested opioid settlement funds and historic behavioral health funding to widen treatment and harm-reduction efforts.

These efforts are showing results. Overdose deaths fell 34 percent from 2023 to 2024, the first decline since 2019. Fentanyl still drives the crisis, which is why medically supervised detox matters. Admission usually begins with an assessment that assigns an American Society of Addiction Medicine (ASAM) level of care to match the setting to a person’s needs.

Paying for Detox in North Carolina

Paying for detox in North Carolina is more manageable than many people expect, between expanded Medicaid, commercial insurance parity protections, and state-funded programs that serve uninsured residents. Understanding how much detox costs and the assistance options below can help you plan before treatment begins.

How Much Does Detox Cost in North Carolina?

The cost of detox in North Carolina depends on the level of medical supervision, the substance involved, the length of stay, and whether care happens in a hospital, a residential facility, or an outpatient setting. Alcohol and benzodiazepine withdrawal often require closer monitoring, which raises the cost.

North Carolina generally sits near or slightly below national averages. The figures below are full cash-pay (self-pay) rates before insurance, Medicaid, Medicare, or state funding is applied. Most people with coverage pay far less, and many qualify for care at no cost.

$140,000

Medical Detox

$50,000

Inpatient Rehab

$8,000

Outpatient Rehab

$7,000

Methadone Treatment

Medicare and Medicaid in North Carolina

Medicare

Medicare covers medically necessary detox for North Carolina residents. Part A pays for inpatient hospital withdrawal management, and Part B covers outpatient services, including opioid treatment program care that provides methadone, buprenorphine, and naltrexone. Medicare Advantage plans sold in North Carolina must offer at least the same coverage. Your out-of-pocket cost depends on the setting, the services received, and your plan’s deductibles and coinsurance.

Medicaid

North Carolina Medicaid, expanded on December 1, 2023, covers medically supervised withdrawal, residential treatment, intensive and comprehensive outpatient programs, and medication-assisted treatment. Coverage is delivered through Standard Plans, Behavioral Health Tailored Plans for people with significant needs, and NC Medicaid Direct. Some services may require prior authorization.

Other Ways to Pay for Detox Treatment

North Carolina funds a broad public safety net so that cost is not a barrier to starting detox. Beyond commercial insurance and Medicaid, several options help people pay for care:

State-Funded Treatment (DMH/DD/SUS)

The Division of Mental Health, Developmental Disabilities, and Substance Use Services funds treatment through the Behavioral Health Tailored Plans and local management entities, using state and federal block grant dollars to cover care for uninsured and underinsured residents.

State Alcohol and Drug Abuse Treatment Centers

North Carolina operates three state Alcohol and Drug Abuse Treatment Centers, in Butner, Black Mountain, and Greenville, which provide medically monitored detox and residential treatment to residents regardless of their ability to pay.

Sliding Scale and Community Providers

Federally Qualified Health Centers and nonprofit providers across North Carolina offer detox and outpatient services on a sliding-fee scale tied to income, keeping care reachable for people without full coverage.

Veterans Programs

Enrolled veterans can access substance use treatment and medically supervised detox through the Durham, Salisbury, Fayetteville, and Asheville VA medical centers, as well as community care referrals when needed.

North Carolina Regulations and Accreditation for Detox

NCDHHS Division of Mental Health, Developmental Disabilities, and Substance Use Services

DMH/DD/SUS is the state authority that oversees North Carolina’s public behavioral health system, setting program standards and coordinating Medicaid behavioral health and state-funded substance use services statewide. See the division.

Website: https://www.ncdhhs.gov/divisions/mhddsus

NC Division of Health Service Regulation

The Mental Health Licensure and Certification Section of DHSR licenses North Carolina detox, residential, and outpatient substance use facilities under General Statute 122C, conducting initial, annual, and complaint inspections. See the licensure section.

Website: https://info.ncdhhs.gov/dhsr/mhlcs/mhpage.html

NC Drug Control Unit and State Opioid Treatment Authority

Programs that dispense methadone or other controlled substances must be approved by the North Carolina Drug Control Unit and, for opioid treatment programs, the State Opioid Treatment Authority, alongside DEA and SAMHSA approval. See the approval requirements.

Website: https://info.ncdhhs.gov/dhsr/mhlcs/establish.html

National Accreditation: CARF and The Joint Commission

Beyond state oversight, many North Carolina detox and treatment providers voluntarily earn accreditation from CARF International or The Joint Commission. These independent bodies audit programs against national standards for safety, clinical quality, and outcomes, signaling externally reviewed care.

Website: https://www.carf.org/

Key MAT Medications and Regulatory Status in North Carolina

Medication-assisted treatment in North Carolina is regulated at the federal and state levels. Opioid treatment programs that dispense methadone must hold SAMHSA certification under 42 CFR Part 8 and register with the DEA, while the state Drug Control Unit approves dispensing and the Controlled Substances Reporting System tracks prescriptions. North Carolina has widened access to medication-assisted treatment through telehealth and mobile opioid treatment programs, and the federal buprenorphine waiver has been eliminated.

Buprenorphine

Buprenorphine, often prescribed as Suboxone, is widely available in North Carolina through office-based providers, telehealth, and jail-based programs. This reach matters in rural counties far from a clinic. North Carolina Medicaid covers buprenorphine, making it a practical first step for opioid use disorder treatment.

Methadone

Methadone is dispensed only through SAMHSA-certified opioid treatment programs and is not available at retail pharmacies. North Carolina has expanded reach with mobile opioid treatment units in underserved areas, and North Carolina Medicaid covers methadone for eligible residents.

Naltrexone

Naltrexone, including the extended-release injection Vivitrol, blocks opioid effects and is not a controlled substance, so any licensed North Carolina prescriber can offer it in a standard outpatient setting. It treats both opioid and alcohol use disorder after withdrawal is complete, and North Carolina Medicaid covers it statewide.

Overdose Prevention and Harm Reduction in North Carolina

North Carolina has expanded overdose prevention steadily since legalizing syringe services programs in 2016. Because fentanyl drives the large majority of the state’s overdose deaths, North Carolina maintains a statewide standing order that lets pharmacists dispense naloxone without an individual prescription, funds a network of syringe-services programs, and supports community drug-checking. These services often become a person’s first connection to detox and treatment.

NCDHHS Safer Syringe Initiative and Naloxone Access

https://www.ncdhhs.gov/about/department-initiatives/overdose-epidemic/syringe-and-naloxone-access

Statewide syringe services program directory Naloxone standing order and distribution Fentanyl test strips and drug-checking Referrals to treatment

The North Carolina Department of Health and Human Services runs the Safer Syringe Initiative, maintaining the statewide list of syringe services programs and supporting the standing order that makes naloxone available at pharmacies without a prescription.

North Carolina Harm Reduction Coalition (NCHRC)

https://www.nchrc.org/

Free naloxone rescue kits Syringe access and safe disposal Overdose prevention education Linkage to treatment and services

NCHRC, with offices in Wilmington and Raleigh, distributes free naloxone rescue kits, operates syringe services, and connects people who use drugs to treatment, having led much of the state’s harm-reduction policy work.

Twin City Harm Reduction Collective (TCHRC)

https://www.tchrc.org/

Syringe exchange and safe disposal Naloxone and overdose reversal training Safer-use education Referrals to SUD treatment

Based in Winston-Salem and serving the Triad, TCHRC provides syringe services, naloxone and overdose reversal training, and referrals to substance use treatment for people who use drugs in the region.

National Harm Reduction Coalition

https://www.facebook.com/HarmReductionCoalition/

Naloxone and overdose response resources Safer-use education materials Provider training and toolkits Referral information

The National Harm Reduction Coalition provides overdose prevention resources, training, and toolkits used by North Carolina programs, along with guidance on naloxone access and safer drug use.

Detox Statistics in North Carolina

North Carolina has made major progress against overdose deaths, though fentanyl keeps the danger high. These figures from state health agencies show where North Carolina stands today.

Overdose Deaths Down 34%

North Carolina overdose deaths fell 34 percent, from 4,442 in 2023 to 2,934 in 2024, the first decline since 2019, according to the North Carolina Department of Health and Human Services.

Fentanyl Drives the Crisis

Fentanyl remains the leading substance in North Carolina overdose deaths, involved in the large majority of fatalities, according to the North Carolina Office of the Chief Medical Examiner.

150,000+ Naloxone Doses Distributed

In 2024, North Carolina distributed more than 150,000 doses of the overdose reversal medication naloxone to community organizations across the state, according to NCDHHS.

FAQs About Detox in North Carolina

How do I get into detox in North Carolina without insurance?

Contact your local management entity or a Behavioral Health Tailored Plan care manager, who can connect you to state-funded detox and treatment. North Carolina also operates three state Alcohol and Drug Abuse Treatment Centers that serve residents regardless of ability to pay.

Is naloxone (Narcan) free in North Carolina?

Yes. North Carolina’s statewide standing order lets pharmacists dispense naloxone without an individual prescription, and syringe-services programs and harm-reduction organizations distribute it free. The state distributed more than 150,000 doses to community groups in 2024.

Do I need inpatient detox, or is outpatient enough?

It depends on the substance, your withdrawal history, and any co-occurring conditions. Alcohol and benzodiazepine withdrawal can be life-threatening and often require inpatient care. Reviewing whether you really need inpatient detox with a clinician determines the safest level of care.

Does North Carolina Medicaid cover addiction treatment?

Yes. Since expanding on December 1, 2023, North Carolina Medicaid covers medically supervised withdrawal, residential treatment, intensive and comprehensive outpatient programs, and medication-assisted treatment. Coverage runs through Standard Plans, Tailored Plans, and NC Medicaid Direct, and some services may require prior authorization.

How long does detox take in North Carolina?

Most medically supervised detox lasts three to seven days, though timelines vary by substance and severity. Opioid and alcohol withdrawal typically span several days, while some sedatives require a longer taper. Your care team adjusts the plan based on your symptoms and medical needs.

Get Help Today!

If you or a loved one is in need of help, call today. Pick up the phone and get the help you need.

800-483-2193

Confidential. Available 24 Hours

Written by: Kerry Nenn

BSW

Kerry Nenn is a full-time freelance writer and prize-winning author. She contributes regularly to addiction-recovery sites, international journal publications, and Christian ministries. Her published works include 10 books and myriad articles. Her work has received recognition both locally and nationally.

View Profile

Browse Detox Centers

Charlotte Raleigh Greensboro Durham Winston Salem Fayetteville Cary Wilmington High Point Concord

Aberdeen Ahoskie Albemarle Apex Arden Ash Asheville Black Mountain Boone Brevard Burlington Butner Carolina Beach Carrboro Cary Chapel Hill Charlotte Clayton Clyde Concord Corolla Dunn Durham Elizabeth City Fayetteville Flat Rock Forest City Franklin Gastonia Goldsboro Greensboro Greenville Hamlet Henderson Hendersonville Hickory High Point Hillsborough Jacksonville Kannapolis Kinston Lakeview Leicester Lenoir Lexington Lillington Lumberton Marion Mill Spring Mills River Monroe Morganton Mount Olive New Bern North Wilkesboro Oxford Pembroke Pinehurst Raeford Raleigh Reidsville Rockingham Rocky Mount Salisbury Sanford Selma Shallotte Statesville Supply Thomasville Walnut Cove Washington Waynesville Weaverville Whiteville Wilmington Wilson Winston Salem Yadkinville