Medication-Assisted Treatment (MAT) Centers in North Carolina
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 291 MAT programs across North Carolina, with the largest concentrations in Asheville (19), Raleigh (17) and Charlotte (15).
Medication-Assisted Treatment (MAT) combines FDA-approved medications — methadone, buprenorphine, and naltrexone — with counseling and behavioral therapies for comprehensive addiction care. MAT is the evidence-based gold standard for opioid and alcohol use disorders.
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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MAT programs in North Carolina
Asheville · 19 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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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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Raleigh · 17 centers

Green Hill Recovery LLC
Raleigh, NC
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SouthLight Healthcare
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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Charlotte · 15 centers

Amity Medical Group Inc
Charlotte, NC
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Blanchard Institute
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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Fayetteville · 12 centers

Cumberland Recovery Response Center
Fayetteville, NC
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Fayetteville Comprehensive Trt Center
Fayetteville, NC
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Renew Counseling Center LLC
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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Cumberland County CommuniCare
Fayetteville, NC
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Durham · 10 centers

Eleanor Health
Durham, NC
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Morse Clinic Of Durham PC
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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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 · 9 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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Piedmont Counseling Services
Greensboro, NC
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Psychotherapeutic Services Inc
Greensboro, NC
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Greenville · 9 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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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 · 9 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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Launch Pad Wellness
Wilmington, NC
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Wilmington Mental Health
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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Lumberton · 7 centers

UNC Health Southeastern
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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Cognitive Connection
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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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

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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Rocky Mount · 4 centers

Monarch
Rocky Mount, NC
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Nash UNC Healthcare
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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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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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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Lexington · 3 centers

Daymark Recovery Services
Lexington, NC
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Mooresville · 3 centers

RAPHA Healthcare Services
Mooresville, NC
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Southern Family Medicine
Mooresville, 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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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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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

RHA Behavioral Health Services
Marion, NC
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Mocksville · 2 centers

Daymark Recovery Services
Mocksville, NC
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Southern Family Medicine
Mocksville, NC
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Morganton · 2 centers
Newland · 2 centers

Daymark Recovery Services
Newland, NC
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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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Rockingham · 2 centers

Sandhills Behavioral Care PLLC
Rockingham, NC
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Constance Pearson LPC/LCAS/PLLC
Rockingham, NC
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Shallotte · 2 centers

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

Journeys Mental Health and Wellness
Wilson, NC
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Aberdeen · 1 center
Apex · 1 center
Arden · 1 center

Insight Recovery Center
Arden, NC
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Bakersville · 1 center

RHA Health Services Inc
Bakersville, NC
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Bayboro · 1 center
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
Cary · 1 center
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
Dallas · 1 center

Amity Medical Group Inc
Dallas, NC
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Dobson · 1 center

Hope Valley Inc
Dobson, 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
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
Jefferson · 1 center

Daymark Recovery Services
Jefferson, NC
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Kernersville · 1 center

Kernersville VA Healthcare Center
Kernersville, NC
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King · 1 center

Daymark Recovery Services
King, 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
Marshall · 1 center
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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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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Norlina · 1 center

Lake Area Counseling Halfway House
Norlina, NC
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Pilot Mountain · 1 center
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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Rocky Point · 1 center

Coastal Horizons Center Inc
Rocky Point, NC
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Rose Hill · 1 center

New Dimension Group LLC
Rose Hill, 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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Sparta · 1 center

Daymark Recovery Center
Sparta, 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
Wake Forest · 1 center

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

Freedom House Recovery Center
Warrenton, NC
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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
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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-payment276
- Medicaid237
- Private health insurance228
- Medicare221
- State-financed health insurance plan other than Medicaid202
- Federal military insurance (e.g., TRICARE)155
- Outpatient259
- Outpatient methadone/buprenorphine or naltrexone treatment231
- Regular outpatient treatment222
- Intensive outpatient treatment107
- Outpatient day treatment or partial hospitalization47
Frequently Asked Questions About MAT in North Carolina
Can pregnant women start mat in North Carolina?
Yes. MAT with methadone or buprenorphine is the recommended standard of care in pregnancy — ACOG and SAMHSA both endorse it. North Carolina providers coordinate with obstetrics to monitor mother and baby throughout pregnancy and the neonatal period.
Are lab tests and drug screens an extra cost at MAT programs in North Carolina?
Most North Carolina programs include routine urine drug screens in the program fee. Baseline lab work (liver function, pregnancy test, ECG for methadone) may be billed separately — $30–$150 depending on insurance status. Ask about lab fees at intake.
How do I enroll in NC Medicaid to pay for mat?
You can apply to NC Medicaid online at the North Carolina state website, in person at a county office, or through MAT programs that offer enrollment assistance. Most applications are decided within 45 days; emergency Medicaid may be available sooner for urgent care.
Does COBRA cover mat in North Carolina?
Yes. COBRA continues your former employer’s health plan unchanged for up to 18 months, including MAT benefits. The monthly COBRA premium is higher than a marketplace plan for most people; explore Marketplace options too before the 60-day COBRA deadline.
Can North Carolina patients get an extended take-home supply of mat?
For methadone, SAMHSA’s 2024 final rule allows OTPs in North Carolina to grant up to 28 days of take-home doses once clinical-stability criteria are met. For buprenorphine, 30-day prescriptions are standard and 90-day fills are permitted in many North Carolina plans. Long-acting naltrexone is a single monthly injection, so no take-home supply applies.
Is mat a lifelong medication?
For some patients, mat is lifelong — the same way insulin or blood-pressure medication is. For others, treatment ends after sustained recovery. The decision to taper is always clinical, made together by patient and provider based on stability, not on arbitrary time limits.
What happens if no MAT programs have immediate openings in my area?
North Carolina’s opioid-response infrastructure funds bridge clinics, emergency-department induction, and telehealth buprenorphine specifically to fill same-day gaps. If the closest clinic has a waitlist, your intake counselor will refer you to the next nearest opening.
Will I feel high or sedated after the first mat dose?
Most patients feel calm relief of withdrawal rather than euphoria. Mild drowsiness is common the first day; avoid driving or operating machinery until you know how you react. Severe sedation is rare and warrants a call to the North Carolina clinic.
Can mat affect hormones or sexual function?
Long-term opioid-agonist therapy (methadone, buprenorphine) can lower testosterone in some men and affect menstruation in some women. Annual hormone panels are reasonable. Switching medications or adjusting dose resolves most cases; endocrinology referral is available in North Carolina for persistent issues.
Is mat safe during pregnancy in North Carolina?
Yes. Methadone and buprenorphine are the evidence-based standard of care in pregnancy, endorsed by ACOG and SAMHSA. Staying on MAT protects both mother and fetus; unmedicated withdrawal is riskier than continued MAT. North Carolina providers coordinate care with obstetrics.
Will my counseling sessions be confidential?
Yes — counseling records are protected by 42 CFR Part 2 and HIPAA. The counselor cannot disclose your MAT status or session content to family, employer, or law enforcement without your specific written consent or a narrowly tailored court order.
Are my mat records confidential in North Carolina?
Yes. Your records are protected by federal law 42 CFR Part 2, which is stricter than HIPAA. Disclosure requires your signed consent or a specific court order; even law enforcement cannot access records without one of these.
Other Treatment Options in North Carolina
Medication-Assisted Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)










































