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Southeast449 facilities

Drug & Alcohol Rehab Centers in North Carolina

North Carolina offers treatment from the Research Triangle's clinical excellence to Asheville's holistic healing community. The Blue Ridge Mountains provide stunning backdrops for residential recovery programs.

Serving Charlotte, Raleigh, Greensboro, Durham and communities throughout North Carolina.

Updated: December 19, 2025
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Fayetteville Comprehensive Trt Center
+9 photos

Fayetteville Comprehensive Trt Center

ATS of North Carolina LLC

Fayetteville, NC 28304
910-864-8739

The Fayetteville Comprehensive Treatment Center, located in Fayetteville, NC, specializes in outpatient programs designed for adults and young adults dealing with substance use issues. With an emphasis on 12-step facilitation, anger management, and brief intervention techniques, the center is committed to providing high-quality care for those facing addiction challenges. This facility includes dedicated programs for adult men and women, as well as clients who have suffered from intimate partner or domestic violence. In addition to regular outpatient services, the center offers outpatient treatments with methadone, buprenorphine, or naltrexone, ensuring that both male and female clients have access to effective and thorough solutions for their addiction treatment needs.

Substance use treatment
Fellowship Hall Inc
+9 photos

Fellowship Hall Inc

Greensboro, NC 27405
800-659-3381

Fellowship Hall Inc, located in Greensboro, NC, is dedicated to providing a wide range of addiction treatment services specifically designed for both adults and young adults. The center features hospital inpatient detoxification and treatment, offering round-the-clock care to support individuals throughout their recovery journey. Their approach incorporates 12-step facilitation, cognitive behavioral therapy, and motivational incentives, making it a flexible program suitable for individuals of any gender. Additionally, there are specialized tracks tailored for adult men, adult women, and those who have dealt with trauma. What sets Fellowship Hall Inc apart is its transitional housing options, alongside a halfway house and sober home programs, all aimed at creating a nurturing environment conducive to recovery. The facility focuses on delivering high-quality care and individualized treatment plans, helping individuals work towards achieving long-lasting sobriety.

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
First Step Services
+9 photos

First Step Services

Raleigh, NC 27609
919-833-8899

First Step Services, located in Raleigh, NC, provides a wide range of substance use treatment options for both adults and young adults. Their programs include intensive outpatient, outpatient, and regular outpatient treatment, all designed to meet individual needs. The team emphasizes approaches such as brief intervention, cognitive behavioral therapy, and motivational interviewing to deliver evidence-based care. Notably, First Step Services has a specialty in working with criminal justice and forensic clients, accommodating both men and women. With a strong commitment to top-notch care and tailored treatment plans, the center stands out as a trusted option for those seeking effective rehabilitation services in the Raleigh region.

Substance use treatment
Flynn Fellowship Home of
+9 photos

Flynn Fellowship Home of

Gastonia Inc

Gastonia, NC 28052
704-865-9395

Flynn Fellowship Home, situated in Gastonia, NC, provides long-term residential treatment for adult men dealing with substance use issues. The environment here is both safe and supportive, designed to foster recovery. This facility emphasizes techniques such as 12-step facilitation, motivational interviewing, and counseling specifically for substance use disorders, all aimed at encouraging sustainable recovery. With an emphasis on transitional housing, halfway house arrangements, and sober living options, the program is well-suited for adults, seniors, and young adults who require comprehensive support. At Flynn Fellowship Home, clients receive high-quality treatment that is specifically designed for men, guaranteeing personalized attention and assistance throughout their recovery journey.

Substance use treatmentTransitional housing, halfway house, or sober home
Focused Addiction Recovery
+9 photos

Focused Addiction Recovery

Wallace, NC 28466
910-788-4242

Located in Wallace, NC, Focused Addiction Recovery specializes in substance use treatment, offering a range of programs such as intensive outpatient, outpatient, and day treatment options. Their approach prioritizes individualized care, integrating techniques like 12-step facilitation, anger management, and brief interventions. The center also features dedicated programs for active duty military personnel, as well as separate tracks for adult men and women, addressing a variety of needs. Catering to adults and young adults across all genders, Focused Addiction Recovery ensures personalized support for every client. What truly distinguishes this facility is its unwavering dedication to high-quality care and its comprehensive treatment programs, making it a reliable choice for those in search of effective addiction treatment.

Substance use treatment
Foothills at Red Oak Recovery
+9 photos

Foothills at Red Oak Recovery

Foothills

Ellenboro, NC 28040
828-318-0148

Nestled in Ellenboro, NC, Foothills at Red Oak Recovery specializes in offering comprehensive substance use treatment specifically for adult males dealing with serious mental health challenges. The facility provides a variety of services, which include intensive outpatient treatment, long-term residential care, and outpatient programs, ensuring a range of options for different needs. The center employs several approaches—such as 12-step facilitation, anger management, and cognitive behavioral therapy—to create personalized treatment plans that cater to the individual requirements of each client. Additionally, tailored programs are available for adolescents as well as individuals who have faced intimate partner violence, domestic violence, and sexual abuse. With a strong emphasis on quality care, Foothills at Red Oak Recovery is dedicated to guiding clients on their path to recovery.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Freedom Detox
+9 photos

Freedom Detox

Gastonia, NC 28054
980-320-1067

Freedom Detox, situated in Gastonia, NC, provides specialized detoxification and substance use treatment programs within a welcoming residential environment. This center offers round-the-clock care and short-term residential options for adults and young adults, regardless of gender. Focusing on holistic healing, Freedom Detox utilizes evidence-based techniques, including anger management, cognitive behavioral therapy, and contingency management, to meet individual needs effectively. What distinguishes this facility is its unique programs designed specifically for active duty military members, adult men, and clients who have faced intimate partner or domestic violence. With a steadfast commitment to delivering quality care, Freedom Detox stands as a beacon of hope for individuals seeking effective addiction treatment.

DetoxificationSubstance use treatment
Fayetteville Treatment Center
+4 photos

Fayetteville Treatment Center

Metro Treatment of North Carolina LP

Fayetteville, NC 28301
910-483-0958

Situated in Fayetteville, NC, the Fayetteville Treatment Center specializes in offering a wide array of outpatient services for substance use treatment. Here, individuals can access outpatient methadone, buprenorphine, or naltrexone treatments, alongside regular outpatient programs, 12-step facilitation, brief interventions, and cognitive behavioral therapy. The center is equipped with specialized programs that cater to active duty military personnel, as well as adult men and women, addressing the unique needs of a variety of clients. With a focus on both adults and young adults, the Fayetteville Treatment Center prioritizes personalized care, ensuring that everyone receives the tailored support they need on their journey to recovery. Committed to providing high-quality, evidence-based treatment, the facility aims to help clients achieve enduring sobriety and improved overall wellness.

Substance use treatment
Family Works Psychological Ctr
+3 photos

Family Works Psychological Ctr

Wilmington, NC 28403
910-509-0588

Located in Wilmington, NC, Family Works Psychological Center specializes in outpatient treatment for substance use and provides dedicated care for individuals facing both substance use issues and serious mental health concerns. The center emphasizes various therapeutic techniques, including anger management, brief interventions, and cognitive behavioral therapy, offering customized programs for adults and seniors. Their individualized approach guarantees that each client—regardless of gender—receives unique and personalized care. Family Works Psychological Center is recognized for its dedication to delivering high-quality, evidence-based treatment, establishing itself as a top choice for anyone in need of comprehensive rehabilitation services in the Wilmington region.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
First Step Farm of WNC Inc
+1 photos

First Step Farm of WNC Inc

Womens Facility

Candler, NC 28715
828-667-0303

First Step Farm of WNC Inc, located in Candler, NC, provides long-term residential and around-the-clock substance use treatment specifically for adult women. This facility is dedicated to supporting those who have faced issues such as intimate partner violence, domestic violence, and sexual abuse. The center emphasizes a range of therapeutic approaches, including 12-step facilitation, anger management, and brief interventions, and it serves a diverse group of clients, including adults, seniors, and young adults. Renowned for its personalized programs and caring staff, First Step Farm of WNC Inc fosters a safe and nurturing space where women can work toward healing from substance use disorders and previous traumas.

Substance use treatment
First Step Services
+1 photos

First Step Services

Cary, NC 27513
919-651-8349

First Step Services, located in Cary, NC, specializes in substance use treatment designed for both adults and young adults. The facility offers a range of programs, including intensive outpatient, outpatient, and regular outpatient treatment options. With an emphasis on brief intervention techniques, cognitive behavioral therapy, and motivational interviewing, the center customizes its approach to meet each individual's unique needs. They also provide distinct programs tailored specifically for criminal justice and forensic clients. Catering to both men and women, First Step Services is dedicated to providing comprehensive care within a nurturing environment. If you or someone you care about is in need of effective addiction treatment, this center’s high-quality care and varied treatment offerings make it an excellent choice for those on the path to recovery.

Substance use treatment
Foothills Consulting and Associates
+1 photos

Foothills Consulting and Associates

Shelby, NC 28150
704-480-1882

Foothills Consulting and Associates, situated in Shelby, NC, provides a wide array of outpatient treatment programs designed for adults and seniors dealing with substance use disorders alongside co-occurring mental health challenges. The facility has a specific expertise in helping trauma survivors as well as those grappling with both pain and substance use issues. They utilize evidence-based methods, including cognitive behavioral therapy and 12-step facilitation, to support their clients. With a strong emphasis on personalized care, Foothills Consulting and Associates serves both male and female clients in need of regular outpatient treatment or therapies like methadone, buprenorphine, and naltrexone. Experience empathetic and effective support at this premier rehabilitation center.

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Four Directions Counseling and
+1 photos

Four Directions Counseling and

Recovery Center

Winston Salem, NC 27105
336-631-8904

Four Directions Counseling, located in Winston Salem, NC, provides outpatient treatment services for both adults and adolescents dealing with substance use issues. The center excels in cognitive behavioral therapy, relapse prevention, and counseling specifically for substance use disorders. They offer distinctive programs designed for adult men, adult women, and adolescents, tailoring treatment to fit the unique needs of both male and female clients. Committed to delivering quality care, this facility fosters a supportive atmosphere for individuals on their journey to recovery from substance use disorders. Their comprehensive methodology effectively targets the individual requirements of each client, ensuring a personalized and impactful treatment experience.

Substance use treatment
FIRST at Blue Ridge Inc - Placeholder

FIRST at Blue Ridge Inc

Ridgecrest, NC 28770
828-669-0011 x1113

FIRST at Blue Ridge Inc, situated in Ridgecrest, NC, offers an extensive array of substance use treatment services. This facility caters to adult men and women with long-term, short-term, and 24-hour residential programs, and it also provides specialized programs for young adults and forensic clients. Emphasizing 12-step facilitation, anger management, and brief intervention methods, the center customizes treatment plans to meet individual needs. Additionally, the transitional housing, halfway house, and sober living options create a supportive atmosphere for recovery. With a strong commitment to delivering high-quality care, FIRST at Blue Ridge Inc stands out as an excellent choice for anyone seeking effective and personalized addiction treatment.

Substance use treatmentTransitional housing, halfway house, or sober home
First Step Farm of WNC Inc - Placeholder

First Step Farm of WNC Inc

Mens Facility

Candler, NC 28715
828-665-5604

First Step Farm of WNC Inc, located in Candler, NC, provides long-term residential and 24-hour substance use treatment exclusively for adult men. This center is dedicated to offering specialized care through approaches like 12-step facilitation, anger management, and brief interventions, ensuring that each treatment plan is tailored to fit individual needs. The facility also features unique programs designed for men who have faced intimate partner violence, domestic violence, and sexual abuse. Catering to adults, seniors, and young adults, First Step Farm creates a safe, supportive environment where male clients can focus on their recovery from addiction. With an emphasis on quality care and personalized treatment, the farm stands out as a reliable option for those ready to embark on their healing journey.

Substance use treatment
Flynn Recovery Community - Placeholder

Flynn Recovery Community

Morganton, NC 28655
828-437-9491

Located in Morganton, NC, Flynn Recovery Community provides long-term residential treatment for adult men dealing with substance use issues in a supportive setting. The facility features various options including transitional housing, a halfway house, and sober living arrangements. It specializes in approaches such as 12-step facilitation, anger management, and brief intervention strategies. Catering to adults, seniors, and young adults, Flynn Recovery Community is particularly focused on offering comprehensive rehabilitation services for adult men. With a strong dedication to quality care and personalized treatment plans, the center aims to help clients achieve sustained recovery and rebuild their lives.

Substance use treatmentTransitional housing, halfway house, or sober home
Four Directions Counseling and - Placeholder

Four Directions Counseling and

Recovery Center

Mount Airy, NC 27030
336-786-5855

Four Directions Counseling, located in Mount Airy, NC, offers outpatient treatment for substance use aimed at both adults and adolescents. The facility provides a range of services, including cognitive behavioral therapy, relapse prevention, and counseling for substance use disorders. With specialized programs in place for adolescents, adult men, and adult women, the center is committed to delivering personalized care to meet the unique needs of each client. Catering to both male and female clients, the focus is on high-quality, evidence-based treatment within a nurturing environment. If you or someone you know is looking for effective support in addressing substance use, consider exploring the comprehensive services available at Four Directions Counseling.

Substance use treatment
Four Directions Counseling and - Placeholder

Four Directions Counseling and

Recovery Center

Lexington, NC 27292
336-224-0863

Located in Lexington, NC, Four Directions Counseling provides a wide range of outpatient services for substance use treatment. The facility employs evidence-based methods, including cognitive behavioral therapy and relapse prevention, to offer specialized counseling for those facing substance use disorders. With programs designed for adolescents as well as adult men and women, the center serves diverse age groups and genders. Committed to high-quality care, Four Directions Counseling focuses on creating individualized treatment plans that empower individuals on their journey to overcome addiction and pursue lasting recovery. If you’re looking for professional and effective support for addiction, this center stands out as a reliable option for healing.

Substance use treatment
Freedom House - Placeholder

Freedom House

Greensboro, NC 27438
336-286-7622

Situated in Greensboro, NC, Freedom House is dedicated to creating a nurturing environment for women who are in need of substance use treatment and transitional housing. The facility offers long-term residential programs that emphasize 12-step facilitation, anger management, and cognitive behavioral therapy. With a personalized approach, the center accommodates adults, seniors, and young adults alike. Freedom House is particularly recognized for its specialization in female-specific care, underlining its dedication to delivering high-quality treatment and tailored support. Whether clients are looking for a halfway house or a sober living environment, they can count on receiving compassionate care and evidence-based practices at this esteemed rehabilitation center.

Substance use treatmentTransitional housing, halfway house, or sober home
Freedom House Recovery Center - Placeholder

Freedom House Recovery Center

Mens Halfway House

Durham, NC 27707
919-425-5472

Freedom House Recovery Center, located in Durham, NC, provides extensive treatment for substance use along with transitional housing specifically designed for adult men. This facility emphasizes long-term residential care, integrating approaches such as 12-step facilitation, brief intervention, and contingency management/motivational incentives. Its specialized programs are crafted to meet the distinct needs of adult men. Catering to adults across various age groups, including seniors and young adults, this 24-hour residential program offers constant support for those on the path to recovery. With its male-focused environment, Freedom House fosters a safe and structured place for men to begin their sobriety journey.

Substance use treatmentTransitional housing, halfway house, or sober home

Addiction Treatment in North Carolina

North Carolina offers treatment from the Research Triangle's clinical excellence to Asheville's holistic healing community. The Blue Ridge Mountains provide stunning backdrops for residential recovery programs.

Treatment Landscape in North Carolina

North Carolina combines research-based treatment from Duke and UNC with holistic approaches popular in the Asheville area. The state offers diverse settings from urban to mountain environments.

Why Choose Treatment in North Carolina?
  • Asheville holistic treatment community
  • Access to Duke and UNC research programs
  • Beautiful Blue Ridge Mountain settings
  • Diverse treatment philosophies available
Asheville holistic treatment hub
Duke/UNC research
Mountain healing settings

Major Treatment Areas in North Carolina

CharlotteRaleighGreensboroDurhamAsheville
Insurance & Payment in North Carolina

NC Medicaid covers substance abuse treatment. Medicaid expansion would significantly increase access.

Types of Treatment Available

  • Medical Detox: Safe, supervised withdrawal with 24/7 medical support
  • Residential Treatment: Live-in programs with structured daily therapy
  • Partial Hospitalization (PHP): Intensive day treatment programs
  • Intensive Outpatient (IOP): Flexible scheduling for working professionals
  • Standard Outpatient: Weekly therapy and support groups
  • Sober Living: Transitional housing for ongoing recovery support

Expert Tips for North Carolina

Expert Tip

Asheville has become a national hub for holistic treatment — ideal for those seeking yoga, meditation, and nature-based therapies.

Expert Tip

The Research Triangle (Raleigh-Durham) offers access to Duke and UNC medical research programs.

Expert Tip

Mountain-based programs provide excellent separation from urban triggers while offering beautiful healing environments.

North Carolina Treatment Resources

Official state resources and organizations providing addiction treatment support in North Carolina.

NC HOPE4NC Helpline1-855-587-3463

24/7 mental health and substance use support line

State Medicaid program for behavioral health coverage

National Resources

Federal resources and hotlines available 24/7 for addiction support.

Free, confidential, 24/7, 365-day-a-year treatment referral and information service

Find treatment facilities in your area

Provides 24/7 free and confidential support for people in distress

Research and information on drug use and addiction

Frequently Asked Questions

Important Notice

This website provides general information about addiction treatment facilities. It is not a substitute for professional medical advice, diagnosis, or treatment. If you are experiencing a mental health crisis, please call 988 (Suicide & Crisis Lifeline) or 911 for immediate assistance. For substance abuse help, call SAMHSA at 1-800-662-4357.

Data sourced from SAMHSA Treatment Locator, state licensing databases, and facility submissions.