North Carolina directory

North Carolina Drug & Alcohol Rehab and Detox Centers

410 listed centers
135 cities covered
2026 North Carolina Drug & Alcohol Rehab Directory

410 licensed, federally listed drug and alcohol treatment programs across 135 North Carolina cities — 67 with medical detox, 70 with inpatient or residential rehab, and 361 offering outpatient care.

Federally listed facilities in North Carolina

Popular North Carolina cities

Addiction Treatment Center Capacity in North Carolina

Federal data set

Treatment centers: 410
Cities covered: 135
Medical detox: 67

Inpatient / residential: 70
Outpatient programs: 361
Dual diagnosis: 300

Live CDC2,157 drug overdose deaths in North Carolina for the 12 months ending April 2026, 20% lower than a year earlier. See national and state trends.

How people pay in North Carolina

Of the 410 North Carolina centers listed, 313 report accepting private health insurance, 92 offer a sliding fee scale, 80 offer payment assistance, and 11 report no charge to the client — as reported to the federal treatment services survey (September 2026). Payment types only; call the center to confirm whether your coverage applies.

North Carolina treatment center map

389 listings mapped

Find North Carolina Drug & Alcohol Rehab Centers

Compare addresses, phone numbers, levels of care, and reported payment options — then call the center directly.

FilterShowing all 410 centers

From our researchSee the full numbers ↓

16.9%

of centers offer detox
U.S. 19.6%

24.15

residential beds per 100k
U.S. 27.0

Monarch — BH Wake 5

1002 Dogwood Drive, Zebulon, NC 27597

Anger Management

Outpatient Program
Telehealth

(866) 272-7826 View profile

Morse Clinic of Zebulon

877 East Gannon Avenue, Suites 103-104, Zebulon, NC 27597

12-Step Facilitation

Medical Detox
Outpatient Program
Medication-assisted Treatment (MAT)

(919) 269-7343 View profile

From our research

Detox Access and Residential Capacity in North Carolina

Detox access

70 of 414 federally listed centers in North Carolina (16.9%) report offering medically managed withdrawal, below the national share of 19.6% and 26th of 52 states and territories. The median distance from a community with listed treatment to the nearest detox program is 9.8 miles (farther than the 7.9-mile national median). 4 of 129 measured communities are more than 50 miles from the nearest one.

Read the Detox Access Gap report →

Residential capacity

North Carolina reports 24.15 residential beds per 100,000 residents (2,668 beds at 64 programs) — fewer than the national rate of about 27.0, ranking 29th of 50. Reported occupancy was 77.3%, leaving more open space than most states (national average: 85.1%).

Read the Residential Capacity report →

Source: Treatment Locators analysis of federal facility directory and survey data. Figures describe the system as a whole, not any one center — call a center to confirm current services and openings.

State overview

Drug & Alcohol Detox and Rehab in North Carolina

If you or someone you love is struggling with drug or alcohol addiction, treatment is available in North Carolina. This directory lists 410 licensed, federally listed treatment programs across 135 North Carolina cities. Some of these programs focus on alcohol withdrawal, others on opioids, stimulants, or benzodiazepines, and many treat all of them alongside co-occurring mental health conditions.

Care in North Carolina spans the full continuum. Of the programs listed here, 67 provide medically supervised detox, 70 offer inpatient or residential rehab, 361 run standard outpatient programs, and 146 run intensive outpatient (IOP) programs. Detox is usually the first step: it stabilizes the body during withdrawal, but it is not a substitute for treatment. Most people move from detox into residential rehab or an outpatient program, where therapy, medication for addiction treatment, and relapse-prevention planning do the longer-term work.

Substance use and mental health problems frequently travel together. 300 North Carolina programs in this directory report treating co-occurring disorders such as depression, anxiety, PTSD, or bipolar disorder alongside addiction. Treating both at the same time — rather than one after the other — is the standard recommended by SAMHSA and is a reasonable question to ask any program before admission.

Many North Carolina facilities also tailor programming to specific groups. The most commonly reported specialties in the state are adults (352 programs), co-occurring disorders / dual diagnosis (275 programs), and men (255 programs). 54 programs report offering services in Spanish.

Cost is the most common reason people delay treatment. Of the 410 North Carolina programs listed here, 313 report accepting private health insurance, 369 accept cash or self-payment, 92 offer a sliding fee scale based on income, and 80 report some form of payment assistance. 11 report providing services at no charge to the client. These figures come from what each facility reported to the federal treatment services survey (September 2026), which records payment types rather than named insurance carriers. Costs and accepted plans are set by each program and change often, so call the facility directly to confirm what it charges and whether your coverage applies.

Learn more: what medical detox involves, levels of addiction care, and withdrawal symptoms and timelines.

Common questions about treatment in North Carolina

How many treatment centers are there in North Carolina?

This directory lists 410 licensed treatment programs in North Carolina, drawn from the federal treatment services record (September 2026). Of those, 67 provide medical detox, 128 offer inpatient rehab or residential treatment and 361 run outpatient treatment.

What is the difference between detox and rehab in North Carolina?

Detox manages withdrawal safely and usually lasts a few days to a week; rehab is the treatment that follows, where therapy and medication address the substance use itself. Most people move from detox into inpatient rehab or an outpatient program, and the levels of care guide explains how each step works.

How much does treatment cost in North Carolina, and does insurance cover it?

Cost depends on the level of care and how long you stay, and federal parity law requires most plans to cover addiction treatment on the same terms as other medical care. In North Carolina, 313 of the 410 listed centers report accepting private health insurance and 92 report a sliding fee scale based on income. The federal record lists payment types rather than named carriers, so call the center to confirm your insurance coverage.

How long does addiction treatment last?

Medical detox typically runs three to seven days, residential treatment commonly runs 30 to 90 days, and outpatient treatment can continue for several months. Research summarized by the National Institute on Drug Abuse finds that staying in treatment for at least 90 days across all settings is associated with better outcomes.

What happens with withdrawal symptoms?

Withdrawal symptoms depend on the substance, how much was used, and for how long, and alcohol and benzodiazepine withdrawal can be medically dangerous without supervision. Our withdrawal timeline page sets out what typically happens day by day, and anyone with a history of seizures or heavy daily drinking should speak to a clinician before stopping.

Can treatment address mental health conditions too?

Yes — programs that treat co-occurring disorders address substance use and conditions such as depression, anxiety or PTSD at the same time, which SAMHSA identifies as the recommended approach. You can filter this directory for dual diagnosis treatment to see which North Carolina programs report providing it.