2025’s Top Rehab Centers in North Carolina, 24 (Free) Drug & Alcohol Support Resources

North Carolina, USA

Frequently Asked Questions

What type of drug or alcohol addiction treatment is right for me?

Get an independent assessment of your treatment needs by a clinician who has experience in substance use problems but is not connected with or employed by a treatment center. They will help you decide between treatment options including:

Outpatient treatment. Patients live at home and go to a clinic or facility regularly for sessions with addiction treatment professionals. There are roughly 440 outpatient programs in North Carolina.

Residential treatment: Patients stay at a residential facility with 24-hour supervision. Different residential programs vary in the intensity of services that they provide. All are staffed 24/7. Some, but not all residential facilities, also provide nursing care and have an on-call physician or advanced practice provider (such as a nurse practitioner). There are roughly 72 in North Carolina.

Hospital inpatient treatment: Patients stay at a hospital facility and receive intensive and highly structured care for addiction and other medical problems. Nursing services are available 24/7. In addition, a physician or advanced practice provider is typically available on-site 24/7.

Withdrawal management: Formerly known as “detox,” a term that has fallen out of favor due to stigma, is supervised withdrawal from drug or alcohol use. There are roughly 75 withdrawal management programs in North Carolina.

Medication: Medication treatment for substance use disorders, combined with behavioral therapies and counseling, can reduce your withdrawal symptoms and cravings to sustain your recovery. Evidence-based guidelines recommend that FDA-approved medications for addiction treatment be offered at all levels of care, including outpatient, residential, inpatient, and withdrawal management.

There are also many non-clinical pathways to recovery as well, such as peer support groups and recovery housing. These supports can also be combined with clinical services. Learn more about the many pathways to recovery.

How can I find the best drug or alcohol addiction treatment in North Carolina?

Ultimately, the question isn’t “What’s the best rehab?” but rather, “What’s the best treatment for me?” Work with a qualified clinician to use the guidance here to make the right treatment choice.

The right program may depend on:

• Type of care: Determine if inpatient, outpatient, withdrawal management, and/or medication treatment is right for you.
• Offerings: Make sure the program caters to both your condition, as well as your unique needs and lived experience.
• Program length: More severe challenges may take longer. Programs should allow patients to stay as long as it is clinically appropriate. No program should discharge a patient based on an arbitrary fixed length of stay. Avoid any program that calls itself a “28-day” or “30-day” rehab. The length of stay should be unique to each patient’s needs.
• Insurance coverage and cost: Make sure the drug or alcohol addiction treatment is covered by insurance and within your budget.

Learn more about choosing the right addiction treatment program.

How should I compare programs and rehabs in North Carolina?

When talking with facilities, ask these questions:

• What types of treatment therapies are offered?
• Can the program offer medication? And, once medication is started, is linkage to a community provider who will continue the medication long-term ensured?
• Are staff members qualified to treat both addiction and other mental health issues, such as depression, anxiety, and PTSD?
• Is treatment tailored for each patient?
• What are the program's requirements and/or expectations of me?
• What can and should my family do while I’m in treatment?
• Can you provide patient rights and responsibilities in writing?

How can I pay for my program or rehab?

Health insurance: Insurance often covers 50-100% of rehab costs. Under The Mental Health Parity and Addiction Equity Act, health insurers are required to cover substance use disorder treatment similar to how they would any physical condition.

Financial assistance: Roughly 94 programs in North Carolina offer Payment Assistance and 141 offer Sliding Scale Fees that reduce the cost of treatment for low-income and under-insured individuals.

Employer Assistance Programs (EAP): An EAP is an employer-sponsored service to help employees (and sometimes their dependents) who are experiencing personal or family challenges. They usually pay for services related to mental health, alcohol or other substance use disorders, financial, and legal concerns.

Learn more about paying for rehab.

How much does treatment, such as rehab, cost in North Carolina?

The cost of rehab in North Carolina can vary widely depending on the type of treatment and whether you have insurance. Fortunately, insurance often covers 50-100% of rehab costs, so your out-of-pocket expenses might be much lower than expected.

The figures below represent average costs for publicly funded or standard community-based programs. These numbers do not include luxury facilities that offer amenities like private rooms, gourmet meals, pools, or fitness centers.

Residential: average total cost for a 3.25-month stay without insurance is $21,344. With 80% insurance coverage, it is $4,269.

• Cost per month without insurance: $6,567
• Cost per month with 80% coverage: $1,313

Outpatient (intensive): average total cost for a 3-month treatment period without insurance is $9,239. With 80% insurance coverage, it is $1,848.

• Cost per month without insurance: $3,080
• Cost per month with 80% coverage: $616

Outpatient (non-methadone): average total cost for a 4.5-month treatment period without insurance is $5,244. With 80% insurance coverage, it is $1,049.

• Cost per month without insurance: $1,165
• Cost per month with 80% coverage: $233

Methadone maintenance: average total cost for a nearly 2-year treatment period without insurance is $18,828. With 80% insurance coverage, it is $3,766.

• Cost per month without insurance: $866
• Cost per month with 80% coverage: $173

Keep in mind, these are averages and could vary based on your specific provider, plan, and policy. Remember, more expensive doesn’t always mean better when it comes to treatment. Focus on finding a program that offers evidence-based care that meets your needs.

Data sourced from an NIH-published paper and adjusted based on inflation and regional differences in healthcare costs (source).

Medical Reviewer

Jasleen Salwan

M.D., M.P.H., F.A.S.A.M.

Dr. Salwan is a board-certified physician specializing in Addiction Medicine and Internal Medicine. She provides comprehensive care at Montgomery Family & Internal Medicine Associates in Silver Spring, Maryland, where she integrates primary care with substance use disorder treatment. Beyond her practice, she contributes to the American Society of Addiction Medicine as a member of the education faculty and consults for the Washington, DC, Addiction Consultation Service. Her academic background includes dual degrees in medicine and public health from the Icahn School of Medicine at Mount Sinai, followed by her residency at the Yale Primary Care Program and a fellowship in Addiction Medicine at Johns Hopkins Bayview.