Buprenorphine Treatment Centers in North Carolina
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 262 buprenorphine providers across North Carolina, with the largest concentrations in Asheville (18), Charlotte (15) and Raleigh (15).
North Carolina recorded 3,520 drug overdose deaths in 2023 — a 33.7-per-100,000 age-adjusted rate — and the state launched a major MAT-relevant Medicaid reform in 2024: Tailored Plans, which provide enhanced behavioral-health coordination for members with serious mental illness, substance-use disorder, or intellectual/developmental disability. Tailored Plans integrate MAT with primary care and case management under five regional managed-care entities. NWVCIL's directory tracks 267 buprenorphine providers in North Carolina, with 18 in Asheville, 15 in Charlotte, and 15 in Raleigh — a notably even three-way distribution. NC Medicaid covers methadone, buprenorphine, and naltrexone in both standard and Tailored Plans, and the North Carolina Department of Health and Human Services licenses 75 SAMHSA-certified OTPs — a large network reflecting the state's investment in opioid-response infrastructure. 333 of the 451 verified facilities in our directory accept Medicaid, and 348 offer telehealth. For a North Carolinian starting buprenorphine, common pathways include: an intake at a Tailored Plan-affiliated community mental-health center, a private MAT clinic in Asheville, Charlotte, Raleigh, or the Triangle, a Federally Qualified Health Center for sliding-fee or uninsured patients, an OTP walk-in, or a telehealth visit with a North Carolina-licensed prescriber. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the monthly Sublocade injection. The NC Crisis Line (1-844-720-2335), SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.
Treatment landscape in North Carolina:
- North Carolina recorded 3,520 drug overdose deaths in 2023 at 33.7 per 100,000 (CDC NCHS).
- 267 buprenorphine providers and 75 methadone Opioid Treatment Programs serve the state; Asheville, Charlotte, and Raleigh anchor access.
- NC Medicaid covers methadone, buprenorphine, and naltrexone; Tailored Plans provide enhanced behavioral-health coordination for members with OUD.
- The state launched Tailored Plans in 2024 to integrate MAT with primary-care management for high-needs members.
Buprenorphine in North Carolina — By the Numbers
33.7
per 100,000 drug overdose mortality (CDC 2023)
3,520
total overdose deaths in North Carolina (2023)
267
buprenorphine providers in our directory
348 / 451
facilities offering telehealth
333
accept Medicaid for treatment
75
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Asheville (18) · Charlotte (15) · Raleigh (15)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
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.
- Cash or self-payment254
- Medicaid223
- Private health insurance209
- Medicare209
- State-financed health insurance plan other than Medicaid184
- Federal military insurance (e.g., TRICARE)147
- Outpatient240
- Outpatient methadone/buprenorphine or naltrexone treatment220
- Regular outpatient treatment203
- Intensive outpatient treatment96
- Outpatient day treatment or partial hospitalization46
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Buprenorphine Treatment Providers in North Carolina
Buprenorphine providers in North Carolina
Asheville · 18 centers

Asheville Comprehensive Treatment Ctr
Asheville, NC
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Daymark Recovery Services
Asheville, NC
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Start Fresh Treatment Center
Asheville, NC
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Crossroads Treatment Centers
Asheville, NC
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MAHEC Center for Psychiatry and
Asheville, NC
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Neil Dobbins Center
Asheville, NC
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October Road Inc
Asheville, NC
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RHA Health Services
Asheville, NC
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Western Carolina Treatment Center
Asheville, NC
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Real Recovery by Pyramid Healthcare
Asheville, NC
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Mayrx LLC
Asheville, NC
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Insight Human Services
Asheville, NC
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Intentional Longevity
Asheville, NC
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Mission Hospital Copestone
Asheville, NC
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Charlotte · 15 centers

Amity Medical Group Inc
Charlotte, NC
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Atrium Health Mercy
Charlotte, NC
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Blanchard Institute
Charlotte, NC
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McLeod Centers for Wellbeing
Charlotte, NC
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South Charlotte VA Healthcare Center
Charlotte, NC
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Family First Community Servs LLC
Charlotte, NC
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Anuvia Prevention and Recovery Center
Charlotte, NC
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Anuvia Prevention and Recovery Center
Charlotte, NC
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Genesis Project 1 Inc
Charlotte, NC
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Atrium Health Addiction Services
Charlotte, NC
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Atrium Health Addiction Services
Charlotte, NC
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LMS Medical Services PLLC
Charlotte, NC
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Raleigh · 15 centers

Green Hill Recovery LLC
Raleigh, NC
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Solas Health PLLC
Raleigh, NC
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Carolina Performance
Raleigh, NC
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SouthLight Healthcare
Raleigh, NC
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Carter Clinic
Raleigh, NC
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Morse Clinic of North Raleigh
Raleigh, NC
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Sigma Health Services
Raleigh, NC
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AIM Advaita Integrated Medicine
Raleigh, NC
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Childrens Campus
Raleigh, NC
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Welwynn Outpatient Center
Raleigh, NC
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Hope Friendship Center
Raleigh, NC
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The Pines
Raleigh, NC
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Fayetteville · 10 centers

Fayetteville Comprehensive Trt Center
Fayetteville, NC
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Renew Counseling Center LLC
Fayetteville, NC
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Solas Health PLLC
Fayetteville, NC
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Fayetteville Treatment Center
Fayetteville, NC
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Life Net Services LLC
Fayetteville, NC
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Life Net Services LLC
Fayetteville, NC
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Better Beginnings Healthcare Solutions
Fayetteville, NC
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Carter Clinic
Fayetteville, NC
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Durham · 9 centers

Eleanor Health
Durham, NC
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Morse Clinic Of Durham PC
Durham, NC
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Durham Treatment Center
Durham, NC
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Sol Medical Group
Durham, NC
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Freedom House Recovery Center
Durham, NC
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RAPHA Healthcare Services
Durham, NC
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Reliable Health Services
Durham, NC
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Greensboro · 8 centers

Fellowship Hall Inc
Greensboro, NC
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Crossroads Treatment Centers
Greensboro, NC
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Family Services of the Piedmont
Greensboro, NC
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New Vision Therapy PLLC
Greensboro, NC
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Alcohol and Drug Services (ADS)
Greensboro, NC
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Psychotherapeutic Services Inc
Greensboro, NC
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Greenville · 8 centers

PORT Health Services
Greenville, NC
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PORT Health Services
Greenville, NC
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PORT Health Services
Greenville, NC
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Pathways to Life Inc
Greenville, NC
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Equifinality B LLC
Greenville, NC
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Walter B Jones
Greenville, NC
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Wilmington · 8 centers

A Brighter Start
Wilmington, NC
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Wilmington Treatment Center
Wilmington, NC
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Healing Place of New Hanover County
Wilmington, NC
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Coastal Horizons Center Inc
Wilmington, NC
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New Hanover Metro Treatment Center
Wilmington, NC
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Wilmington Mental Health
Wilmington, NC
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Reflections of Hope LLP
Wilmington, NC
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Winston Salem · 8 centers

Addiction Recovery Care Association
Winston Salem, NC
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Daymark Recovery Services
Winston Salem, NC
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Novant Health Forsyth Medical Center
Winston Salem, NC
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Winston Salem Comprehensive Trt Ctr
Winston Salem, NC
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Old Vineyard Behavioral Health Service
Winston Salem, NC
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Insight Human Services Inc
Winston Salem, NC
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Novant Health Forsyth Medical Center
Winston Salem, NC
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Wake Forest Baptist Health
Winston Salem, NC
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Gastonia · 7 centers

Phoenix Counseling Center
Gastonia, NC
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Integrated Care of Greater Hickory
Gastonia, NC
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McLeod Centers for Wellbeing
Gastonia, NC
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Lumberton · 7 centers

UNC Health Southeastern
Lumberton, NC
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Solas Health PLLC
Lumberton, NC
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RHA Health Services
Lumberton, NC
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Bordbelt Behavioral Healthcare LLC
Lumberton, NC
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Carter Clinic
Lumberton, NC
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RAPHA Healthcare Services
Lumberton, NC
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Stephens Outreach Center Inc
Lumberton, NC
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Hickory · 5 centers

Eleanor Health
Hickory, NC
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Integrated Care of Greater Hickory
Hickory, NC
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Hickory Metro Treatment Center
Hickory, NC
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Cognitive Connection
Hickory, NC
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McLeod Centers for Wellbeing
Hickory, NC
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Jacksonville · 5 centers

Dix Crisis Intervention Center
Jacksonville, NC
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Coastal Carolina Neuropsychiatric Ctr
Jacksonville, NC
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Jacksonville Treatment Center
Jacksonville, NC
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Positive Life Changes
Jacksonville, NC
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Chapel Hill · 4 centers

Freedom House Recovery Center
Chapel Hill, NC
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Freedom House Recovery Center
Chapel Hill, NC
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Freedom House Recovery Center
Chapel Hill, NC
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Goldsboro · 4 centers

Goldsboro Comprehensive Trt Ctr
Goldsboro, NC
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Family Medicine and Rehab Center
Goldsboro, NC
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Waynesboro Family Clinic
Goldsboro, NC
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Medical Care Inc
Goldsboro, NC
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Monroe · 4 centers

Daymark Recovery Services
Monroe, NC
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Daymark Recovery Services
Monroe, NC
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McLeod Centers for Wellbeing
Monroe, NC
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Salisbury · 4 centers

Daymark Recovery Services
Salisbury, NC
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Salisbury VA Medical Center
Salisbury, NC
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Carolina Energetics PC
Salisbury, NC
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Statesville · 4 centers

Daymark Recovery Services
Statesville, NC
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Carolina Specialty Care PA
Statesville, NC
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McLeod Centers for Wellbeing
Statesville, NC
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Addiction Recovery Medical Services
Statesville, NC
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Boone · 3 centers
Henderson · 3 centers

Daymark Recovery Services
Henderson, NC
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Genesis Project North
Henderson, NC
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Vance Recovery
Henderson, NC
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Lexington · 3 centers

Daymark Recovery Services
Lexington, NC
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Daymark Recovery Services
Lexington, NC
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Morehead City · 3 centers

PORT Health Services
Morehead City, NC
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Morehead City Treatment Ctr LLC
Morehead City, NC
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Family Medicine and Rehab Center
Morehead City, NC
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North Wilkesboro · 3 centers

Daymark Recovery Services
North Wilkesboro, NC
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North Wilkesboro Comp Treatment Center
North Wilkesboro, NC
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Stepping Stone of North Carolina
North Wilkesboro, NC
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Pinehurst · 3 centers

Daymark Recovery Services
Pinehurst, NC
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Pinehurst Comprehensive Treatment Ctr
Pinehurst, NC
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Solas Health PLLC
Pinehurst, NC
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Rocky Mount · 3 centers

Monarch
Rocky Mount, NC
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Nash UNC Healthcare
Rocky Mount, NC
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Rocky Mount Treatment Center
Rocky Mount, NC
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Shelby · 3 centers

Foothills Consulting and Associates
Shelby, NC
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Phoenix Counseling Center
Shelby, NC
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Phoenix Counseling Center
Shelby, NC
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Albemarle · 2 centers

Daymark Recovery Services
Albemarle, NC
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Monarch
Albemarle, NC
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Asheboro · 2 centers

Triad Therapy
Asheboro, NC
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Morse Clinic of Asheboro
Asheboro, NC
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Concord · 2 centers

Daymark Recovery Services
Concord, NC
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McLeod Centers for Wellbeing
Concord, NC
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Laurinburg · 2 centers

Carter Clinic
Laurinburg, NC
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Lillington · 2 centers

Daymark Recovery Services
Lillington, NC
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Louisburg · 2 centers

Relief Integrated Healthcare
Louisburg, NC
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Vision Behavioral Health Servs LLC
Louisburg, NC
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Marion · 2 centers

McLeod Centers for Wellbeing
Marion, NC
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RHA Behavioral Health Services
Marion, NC
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Mooresville · 2 centers

RAPHA Healthcare Services
Mooresville, NC
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Southern Family Medicine
Mooresville, NC
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Morganton · 2 centers
Pembroke · 2 centers

Southeastern Integrated Care LLC
Pembroke, NC
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Reidsville · 2 centers
Roanoke Rapids · 2 centers

Morse Clinic of Roanoke Rapids
Roanoke Rapids, NC
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RHA Behavioral Health NC LLC
Roanoke Rapids, NC
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Shallotte · 2 centers

Shallotte Treatment Associates
Shallotte, NC
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Coastal Horizons Inc
Shallotte, NC
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Washington · 2 centers

Metropolitan Community Hlth Servs Inc
Washington, NC
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DREAM Provider Care Services
Washington, NC
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Weaverville · 2 centers

Carolina Recovery Solutions
Weaverville, NC
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Crossroads Treatment Centers
Weaverville, NC
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Williamston · 2 centers

Metropolitan Community Hlth Servs Inc
Williamston, NC
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DREAM Provider Care Services
Williamston, NC
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Wilson · 2 centers

BHG Wilson Professional Services
Wilson, NC
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Journeys Mental Health and Wellness
Wilson, NC
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Aberdeen · 1 center
Apex · 1 center
Bakersville · 1 center

RHA Health Services Inc
Bakersville, NC
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Benson · 1 center
Black Mountain · 1 center

JFK Alcohol and Drug Abuse Trt Ctr
Black Mountain, NC
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Bladenboro · 1 center

RHA Health Services
Bladenboro, NC
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Brasstown · 1 center

BayMark Hlth Servs of North Carolina
Brasstown, NC
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Burgaw · 1 center

Coastal Horizons Center Inc
Burgaw, NC
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Burlington · 1 center

RHA Health Services
Burlington, NC
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Carrboro · 1 center

UNC Horizons Program
Carrboro, NC
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Clayton · 1 center

Johnston Recovery Services
Clayton, NC
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Clinton · 1 center

Family First Support Center Inc
Clinton, NC
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Clyde · 1 center

BHG Clyde Treatment Center
Clyde, NC
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Dallas · 1 center

Amity Medical Group Inc
Dallas, NC
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Dunn · 1 center

Tri County Community Health
Dunn, NC
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Ellenboro · 1 center

Foothills at Red Oak Recovery
Ellenboro, NC
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Elm City · 1 center

Carolina Family Health Centers
Elm City, NC
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Erwin · 1 center

Morse Clinic of Dunn
Erwin, NC
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Fairmont · 1 center

Stephens Outreach Center Inc
Fairmont, NC
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Fletcher · 1 center

Willows at Red Oak Recovery
Fletcher, NC
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Franklin · 1 center

Hazelwood Healthcare PLLC
Franklin, NC
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Hendersonville · 1 center

UNC Health Pardee
Hendersonville, NC
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High Point · 1 center

Daymark Recovery Services
High Point, NC
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Hookerton · 1 center

Positive Life Changes
Hookerton, NC
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Huntersville · 1 center

Blanchard Institute
Huntersville, NC
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Indian Trail · 1 center
Kernersville · 1 center

Kernersville VA Healthcare Center
Kernersville, NC
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Kings Mountain · 1 center

Atrium Health
Kings Mountain, NC
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Kinston · 1 center

Kinston Community Behav Health Ctr
Kinston, NC
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Kitty Hawk · 1 center

Changing Tides
Kitty Hawk, NC
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Knightdale · 1 center

Family Medicine and Rehab Center
Knightdale, NC
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Leicester · 1 center

Red Oak Recovery
Leicester, NC
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Lenoir · 1 center

McLeod Centers for Wellbeing
Lenoir, NC
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Marshall · 1 center

Madison County Health Department
Marshall, NC
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Mill Spring · 1 center

Pavillon
Mill Spring, NC
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Mills River · 1 center

Silver Ridge
Mills River, NC
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Mocksville · 1 center

Southern Family Medicine
Mocksville, NC
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Morrisville · 1 center
Mount Airy · 1 center

Daymark Recovery Services
Mount Airy, NC
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Nags Head · 1 center
New Bern · 1 center

PORT Health Services
New Bern, NC
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Newland · 1 center
Norlina · 1 center

Lake Area Counseling Halfway House
Norlina, NC
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Plymouth · 1 center

DREAM Provider Care Services
Plymouth, NC
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Raeford · 1 center

Daymark Recovery Services
Raeford, NC
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Ridgecrest · 1 center

FIRST at Blue Ridge Inc
Ridgecrest, NC
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Rockingham · 1 center

Sandhills Behavioral Care PLLC
Rockingham, NC
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Rocky Point · 1 center

Coastal Horizons Center Inc
Rocky Point, NC
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Rowland · 1 center

Hope Health Family Practice
Rowland, NC
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Roxboro · 1 center

Freedom House Recovery Center
Roxboro, NC
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Sanford · 1 center
Siler City · 1 center

Chatham Recovery PLLC
Siler City, NC
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Smithfield · 1 center

Carter Clinic
Smithfield, NC
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Supply · 1 center

Start Fresh Treatment Center
Supply, NC
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Swansboro · 1 center
Tarboro · 1 center

Carolina Family Health Centers Inc
Tarboro, NC
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Taylorsville · 1 center

Addiction Recovery Medical Services
Taylorsville, NC
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Thomasville · 1 center
Troy · 1 center

Daymark Recovery Services
Troy, NC
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Wade · 1 center

Stedman Wade Health Services Inc
Wade, NC
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Wake Forest · 1 center

Sol Medical Group
Wake Forest, NC
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Wallace · 1 center
Waynesville · 1 center

Euphoria Enterprises Inc
Waynesville, NC
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Wendell · 1 center

Journeys in Mental Health and Wellness
Wendell, NC
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Whiteville · 1 center

RHA Health Services
Whiteville, NC
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Zebulon · 1 center

Morse Clinic of Zebulon
Zebulon, NC
Services:
Frequently Asked Questions About Buprenorphine in North Carolina
Do I need to provide a criminal-history check to enroll in buprenorphine providers in North Carolina?
No. North Carolina MAT providers do not require criminal-history disclosure to enroll. Federal law (42 CFR Part 2) protects substance-use treatment records; a criminal record will not block admission to a buprenorphine program.
How much does buprenorphine treatment cost in North Carolina?
Self-pay monthly cost for buprenorphine in North Carolina typically ranges from $150 to $700, depending on medication, counseling intensity, and whether lab work is included. Long-acting injectables (Sublocade, Vivitrol) billed without insurance can exceed $1,500 per dose. Most patients pay far less through insurance or NC Medicaid.
Does NC Medicaid cover both the medication and the counseling for buprenorphine?
Yes. NC Medicaid covers the medication (methadone, buprenorphine, or naltrexone), counseling sessions, group therapy, drug screening, and care coordination as an integrated MAT benefit. Peer-recovery support is also reimbursable in North Carolina under the state plan.
Does my commercial plan cover long-acting buprenorphine (Sublocade) in North Carolina?
Yes. North Carolina commercial plans cover Sublocade under the medical benefit (administered in clinic) with prior authorization documenting adherence to sublingual buprenorphine. The buprenorphine provider’s office handles the PA paperwork.
Are there advocacy organizations for buprenorphine patients in North Carolina?
Yes. Faces & Voices of Recovery chapters, the American Society of Addiction Medicine (ASAM) regional sections, and North Carolina-based recovery community organizations advocate for patient rights. SAMHSA’s Recovery Community Services Program funds peer-led groups in most North Carolina counties.
What is the shortest effective course of buprenorphine?
Evidence supports a minimum of 6–12 months of continuous MAT for most patients. Courses shorter than 3 months are associated with high relapse and overdose rates. Your North Carolina clinician will set an individualized duration target after the first month of treatment.
Can I start buprenorphine through telehealth in North Carolina?
Yes. Buprenorphine induction and follow-up are routinely delivered by telehealth in North Carolina under permanent federal rules. Naltrexone can be prescribed via telehealth too. Methadone induction requires an in-person OTP visit for the first dose.
Will I need lab tests before starting buprenorphine?
Yes. Basic labs include a urine drug screen, pregnancy test (if applicable), hepatitis and HIV testing (offered, not mandatory), liver-function tests, and for methadone an ECG to screen QTc interval. Labs are usually drawn at intake; results guide medication selection.
Will buprenorphine make me tired or affect my ability to work in North Carolina?
During induction (first 1–2 weeks), mild drowsiness is common. Once stabilized, most patients fully resume work, including safety-sensitive jobs such as CDL driving, subject to any employer drug-testing policies. North Carolina clinicians can issue letters documenting stability.
Does NC Medicaid cover perinatal MAT?
Yes. NC Medicaid covers MAT during pregnancy and for 12 months postpartum in North Carolina, with priority access and typically no cost-sharing. Pregnancy Medicaid applications are fast-tracked in most North Carolina counties — ask at intake.
Can I skip counseling and just take buprenorphine?
Patients prescribed buprenorphine or naltrexone in North Carolina can technically receive medication without counseling, but outcomes are significantly better with integrated counseling. Methadone patients at OTPs have counseling requirements per federal rule 42 CFR Part 8.
Does buprenorphine violate North Carolina employment drug-testing rules?
No. Legally prescribed methadone, buprenorphine, or naltrexone does not violate employment drug-testing policies when documented by your MAT clinician. Notify the Medical Review Officer (MRO) of your prescription — do not test positive without MRO notification.
Other Treatment Options in North Carolina
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)
























