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Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA

12-Step Programs in North Carolina

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 188 12-step programs across North Carolina, with the largest concentrations in Charlotte (12), Greensboro (9) and Fayetteville (8).

12-Step Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide peer support, structured recovery framework, and proven principles for lasting sobriety. Many treatment centers integrate 12-step facilitation into their programs.

Treatment landscape in North Carolina:

  • NC Medicaid covers substance abuse treatment
  • Mountain and coastal treatment locations
  • Growing number of specialized programs
  • Strong university-affiliated treatment centers

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12-step programs in North Carolina

Filters:

Charlotte · 12 centers

Atrium Health Mercy - Facility Image

Atrium Health Mercy

Charlotte, NC

Insurance Accepted$$

Services:

Detoxification
Blanchard Institute - Facility Image

Blanchard Institute

Charlotte, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Charlotte Rescue Mission - Facility Image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Greensboro · 9 centers

Fellowship Hall Inc - Facility Image

Fellowship Hall Inc

Greensboro, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Family Services of the Piedmont - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Greensboro Metro Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Fayetteville · 8 centers

Cumberland Recovery Response Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fayetteville Comprehensive Trt Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Thrive Addictions Services - Facility Image
Insurance Accepted$$

Services:

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

Durham · 7 centers

Healing with CAARE Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Morse Clinic Of Durham PC - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dharma Counseling Services - Facility Image
Insurance Accepted$$

Services:

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

Winston Salem · 7 centers

Addiction Recovery Care Association - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Full Life Counseling and Recovery - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Insight Human Services Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Asheville · 6 centers

Asheville Recovery Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Crest View Recovery Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Crest View Recovery Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Gastonia · 6 centers

Flynn Fellowship Home of - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Gaston Crisis and Recovery Center - Facility Image
Insurance Accepted$$

Services:

Detoxification
Phoenix Counseling Center - Facility Image
Insurance Accepted$$

Services:

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

Greenville · 6 centers

Greenville Recovery Center (GRC) - Facility Image
$$

Services:

Substance use treatment
PORT Health Services - Facility Image

PORT Health Services

Greenville, NC

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
PORT Health Services - Facility Image

PORT Health Services

Greenville, NC

Insurance Accepted$$

Services:

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

Raleigh · 6 centers

Green Hill Recovery LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carolina Performance - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Morse Clinic of North Raleigh - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Wilmington · 6 centers

A Brighter Start - Facility Image

A Brighter Start

Wilmington, NC

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Morehead City · 5 centers

Family Medicine and Rehab Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hope Recovery Homes Inc - Facility Image

Hope Recovery Homes Inc

Morehead City, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hope Recovery Homes Inc - Facility Image

Hope Recovery Homes Inc

Morehead City, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Chapel Hill · 4 centers

Placeholder image
Insurance Accepted$$

Services:

Detoxification
Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Goldsboro · 4 centers

Family Medicine and Rehab Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Waynesboro Family Clinic - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Reidsville · 4 centers

REMMSCO - Facility Image

REMMSCO

Reidsville, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
REMMSCO Inc - Facility Image

REMMSCO Inc

Reidsville, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Placeholder image

ALEF Behavioral Group

Reidsville, NC

Insurance Accepted$$

Services:

Substance use treatment

Shelby · 4 centers

Preferred Choice Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Foothills Consulting and Associates - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Concord · 3 centers

Genesis A New Beginning - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
$$

Services:

Substance use treatment
Placeholder image
Insurance Accepted$$

Services:

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

Henderson · 3 centers

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

Vance Recovery

Henderson, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Hickory · 3 centers

Integrated Care of Greater Hickory - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Hickory Metro Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Carolina Wellness and Recovery Servs - Facility Image
Insurance Accepted$$

Services:

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

High Point · 3 centers

Daymark Recovery Services Inc - Facility Image
$$

Services:

Substance use treatment
Family Services of the Piedmont - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

Caring Services Inc

High Point, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Kinston · 3 centers

Dixon Social Interactive Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

Life Touch LLC

Kinston, NC

Insurance Accepted$$

Services:

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

Roanoke Rapids · 3 centers

Morse Clinic of Roanoke Rapids - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
RHA Behavioral Health NC LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Asheboro · 2 centers

Morse Clinic of Asheboro - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Placeholder image
$$

Services:

Substance use treatment

Candler · 2 centers

First Step Farm of WNC Inc - Facility Image
$$

Services:

Substance use treatment
Placeholder image
$$

Services:

Substance use treatment

Lumberton · 2 centers

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Marion · 2 centers

Crossroads Recovery Center Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Morganton · 2 centers

New Season Morganton Treatment Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Pembroke · 2 centers

Southeastern Integrated Care LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Rockingham · 2 centers

Sandhills Behavioral Care PLLC - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Salisbury · 2 centers

Salisbury VA Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Genesis A New Beginning - Facility Image
Insurance Accepted$$

Services:

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

Statesville · 2 centers

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Addiction Recovery Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Washington · 2 centers

Metropolitan Community Hlth Servs Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
DREAM Provider Care Services - Facility Image
Insurance Accepted$$

Services:

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

Whiteville · 2 centers

H and H Mental Health Associates PLLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

RHA Health Services

Whiteville, NC

Insurance Accepted$$

Services:

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

Williamston · 2 centers

Metropolitan Community Hlth Servs Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Wilson · 2 centers

Stepping Stones Community Res Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

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

Aberdeen · 1 center

PORT Human Services - Facility Image
Insurance Accepted$$

Services:

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

Apex · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Arden · 1 center

Insight Recovery Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more

Bakersville · 1 center

RHA Health Services Inc - Facility Image
Insurance Accepted$$

Services:

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

Bladenboro · 1 center

Placeholder image

RHA Health Services

Bladenboro, NC

Insurance Accepted$$

Services:

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

Burgaw · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Cary · 1 center

Insight Program - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Clayton · 1 center

Johnston Recovery Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Dobson · 1 center

Hope Valley Inc - Facility Image

Hope Valley Inc

Dobson, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Ellenboro · 1 center

Foothills at Red Oak Recovery - Facility Image
Insurance Accepted$$

Services:

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

Erwin · 1 center

Morse Clinic of Dunn - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Fairmont · 1 center

Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Fletcher · 1 center

Willows at Red Oak Recovery - Facility Image
Insurance Accepted$$

Services:

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

Franklin · 1 center

Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Hendersonville · 1 center

UNC Health Pardee - Facility Image

UNC Health Pardee

Hendersonville, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Huntersville · 1 center

Blanchard Institute - Facility Image

Blanchard Institute

Huntersville, NC

Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Kernersville · 1 center

Kernersville VA Healthcare Center - Facility Image
Insurance Accepted$$

Services:

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

Kings Mountain · 1 center

Atrium Health - Facility Image

Atrium Health

Kings Mountain, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Kitty Hawk · 1 center

Changing Tides - Facility Image

Changing Tides

Kitty Hawk, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home

Knightdale · 1 center

Family Medicine and Rehab Center - Facility Image
Insurance Accepted$$

Services:

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

Lakeview · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Laurinburg · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Leicester · 1 center

Red Oak Recovery - Facility Image

Red Oak Recovery

Leicester, NC

Insurance Accepted$$

Services:

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

Lexington · 1 center

Placeholder image

Path of Hope Inc

Lexington, NC

$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Lincolnton · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Mill Spring · 1 center

Pavillon - Facility Image

Pavillon

Mill Spring, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Monroe · 1 center

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

Detoxification

Mooresville · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Mount Airy · 1 center

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

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

Newland · 1 center

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

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

Norlina · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

North Wilkesboro · 1 center

Placeholder image

Synergy Recovery Inc

North Wilkesboro, NC

Insurance Accepted$$

Services:

Detoxification

Pilot Mountain · 1 center

Hope Valley Inc - Facility Image

Hope Valley Inc

Pilot Mountain, NC

Insurance Accepted$$

Services:

Substance use treatment

Plymouth · 1 center

DREAM Provider Care Services - Facility Image
Insurance Accepted$$

Services:

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

Red Springs · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Ridgecrest · 1 center

Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Rocky Mount · 1 center

Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Rocky Point · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Rose Hill · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Rutherfordton · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

Siler City · 1 center

Placeholder image

Chatham Recovery PLLC

Siler City, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Smithfield · 1 center

Johnston Counseling Services Inc - Facility Image
$$

Services:

Substance use treatment

Swannanoa · 1 center

Recovery Ventures Corporation - Facility Image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

Taylorsville · 1 center

Addiction Recovery Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Thomasville · 1 center

Green Ctr of Growth and Development - Facility Image
$$

Services:

Substance use treatment

Wade · 1 center

Stedman Wade Health Services Inc - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Wallace · 1 center

Focused Addiction Recovery - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Weaverville · 1 center

Carolina Recovery Solutions - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more

West Jefferson · 1 center

Placeholder image
$$

Services:

Substance use treatment

Zebulon · 1 center

Morse Clinic of Zebulon - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Coverage & Regulations in North Carolina

NC Medicaid

NC Medicaid covers methadone, buprenorphine, and naltrexone; Tailored Plans provide enhanced behavioral-health coordination for members with OUD.

State regulations

North Carolina Department of Health and Human Services licenses OTPs; the state launched Tailored Plans in 2024 to integrate MAT with primary care.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance
  • Cash or self-payment168
  • Private health insurance128
  • Medicaid124
  • State-financed health insurance plan other than Medicaid117
  • Medicare100
  • Federal, or any government funding for substance use treatment programs85
Available Settings
  • Outpatient150
  • Regular outpatient treatment143
  • Intensive outpatient treatment88
  • Outpatient methadone/buprenorphine or naltrexone treatment85
  • Outpatient day treatment or partial hospitalization49

Frequently Asked Questions About 12-Step in North Carolina

Can I attend 12-step meetings if I am also on medication-assisted treatment?

Yes. AA and NA do not prohibit members from taking prescribed medication for mental or physical health, including MAT. The NA pamphlet "In Times of Illness" specifically clarifies this. North Carolina groups often welcome MAT patients as full members.

What is a step or study meeting?

Step meetings work through the 12 Steps one at a time, and Big Book or Basic Text study meetings read fellowship literature together, paragraph by paragraph. These formats deepen practical understanding. Most North Carolina areas list step-study and literature-study meetings in the weekly schedule.

Can my sponsor demand I stop MAT or other prescribed medications?

No. A sponsor’s role is guidance, not medical management. AA and NA fellowship literature ("The AA Member — Medications and Other Drugs," NA’s "In Times of Illness") explicitly affirms that sponsors do not intervene in medical care. Find a different sponsor if this happens.

What percentage of 12-step members stay sober?

AA internal surveys suggest about 36% of members stay sober 1+ year, with higher rates among those who work the program consistently. Research published by Harvard affiliate Dr. John F. Kelly shows outcomes comparable to professional therapy when members engage meaningfully.

Can non-religious newcomers feel comfortable at 12-step in North Carolina?

Yes, especially at meetings labeled agnostic, secular, or "We Agnostics." Even at traditional meetings, most North Carolina members respect diverse beliefs. You are never required to pray, invoke a deity, or endorse any specific theology.

Do 12-step groups share attendance data with insurance or probation in North Carolina?

No. Groups don’t maintain attendance data at all. A secretary may sign a court attendance slip on request, but groups do not send reports to insurance, probation, or employers. Attendance is entirely voluntary and private.

Will I be judged in 12-step for taking prescribed medication?

Some older-generation members hold the view that medication undermines full recovery — this is a minority position and contradicts official AA and NA literature. If you encounter it in North Carolina, find a different meeting or a MARA group where MAT is explicitly welcomed.

Does NC Medicaid pay for 12-step?

NC Medicaid does not pay for peer-led 12-step meetings directly — they are free. However, NC Medicaid does cover "12-step facilitation therapy" delivered by a licensed clinician, which is evidence-based and often offered at North Carolina treatment programs.

Can I attend any meeting worldwide online?

Yes. Online meetings are open to anyone regardless of location. Members from North Carolina routinely attend meetings based in other states or countries. Finding the right meeting is about fit and schedule, not geography.

Should I tell my family or partner I’m attending 12-step?

Sharing with a supportive partner or family member can help. Some members prefer privacy in the early weeks. Al-Anon and Nar-Anon in North Carolina support family members while you focus on your own recovery. The choice is personal.

Other Treatment Options in North Carolina

12-Step Programs in Other States

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)