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

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

Filters:

Asheville · 19 centers

Asheville Comprehensive Treatment Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Asheville Recovery Center - Facility Image
Insurance Accepted$$

Services:

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

Services:

Substance use treatment

Raleigh · 17 centers

First Step Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
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
Raleigh Methadone Treatment Ctr (RMTC) - Facility Image
$$

Services:

DetoxificationSubstance use treatment

Charlotte · 15 centers

Amity Medical Group 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
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

Fayetteville · 12 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
Renew Counseling Center 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

Durham · 10 centers

Eleanor Health - Facility Image

Eleanor Health

Durham, 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
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
Durham Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

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
Crossroads Treatment Centers - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance 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

Greenville · 9 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

Wilmington · 9 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
Capeside Psychiatry - Facility Image

Capeside Psychiatry

Wilmington, NC

Insurance Accepted$$

Services:

Substance use treatment
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

Winston Salem · 8 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
Daymark Recovery Services - Facility Image

Daymark Recovery Services

Winston Salem, 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
Novant Health Forsyth Medical 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

Gastonia · 7 centers

Freedom Detox - Facility Image

Freedom Detox

Gastonia, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
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

Lumberton · 7 centers

UNC Health Southeastern - 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
Solas Health PLLC - Facility Image

Solas Health PLLC

Lumberton, NC

Insurance Accepted$$

Services:

Substance use treatment
RHA Health Services - Facility Image

RHA Health Services

Lumberton, 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

Hickory · 5 centers

Eleanor Health - Facility Image

Eleanor Health

Hickory, 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
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

Jacksonville · 5 centers

CapeSide Addiction - Facility Image

CapeSide Addiction

Jacksonville, NC

Insurance Accepted$$

Services:

Substance use treatment
Dix Crisis Intervention Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Coastal Carolina Neuropsychiatric Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Chapel Hill · 4 centers

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
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:

Detoxification

Goldsboro · 4 centers

Goldsboro Comprehensive Trt Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
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

Monroe · 4 centers

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

Detoxification
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
Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Rocky Mount · 4 centers

Monarch - Facility Image

Monarch

Rocky Mount, 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
Nash UNC Healthcare - Facility Image

Nash UNC Healthcare

Rocky Mount, 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
Nash UNC Healthcare - Facility Image

Nash UNC Healthcare

Rocky Mount, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Salisbury · 4 centers

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
Salisbury VA Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Carolina Energetics PC - Facility Image
$$

Services:

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

Statesville · 4 centers

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Carolina Specialty Care PA - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
McLeod Centers for Wellbeing - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Boone · 3 centers

High Country Community Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
High Country Community Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Stepping Stone of Boone - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Henderson · 3 centers

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
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

Lexington · 3 centers

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
Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

Detoxification
Lexington Treatment Associates - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Mooresville · 3 centers

RAPHA Healthcare 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
Southern Family Medicine - 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

Morehead City · 3 centers

PORT Health Services - Facility Image

PORT Health Services

Morehead City, 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
Morehead City Treatment Ctr LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
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

North Wilkesboro · 3 centers

Daymark Recovery Services - Facility Image

Daymark Recovery Services

North Wilkesboro, 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
North Wilkesboro Comp Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Stepping Stone of North Carolina - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Pinehurst · 3 centers

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
Pinehurst Comprehensive Treatment Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Solas Health PLLC - Facility Image

Solas Health PLLC

Pinehurst, NC

Insurance Accepted$$

Services:

Substance use treatment

Shelby · 3 centers

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
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

Albemarle · 2 centers

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
Monarch - Facility Image

Monarch

Albemarle, 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

Asheboro · 2 centers

Triad Therapy - Facility Image

Triad Therapy

Asheboro, 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
Morse Clinic of Asheboro - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Concord · 2 centers

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
McLeod Centers for Wellbeing - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Laurinburg · 2 centers

Carter Clinic - Facility Image

Carter Clinic

Laurinburg, 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
Placeholder image

Murray Fork Clinic

Laurinburg, NC

$$

Services:

DetoxificationSubstance use treatment

Lillington · 2 centers

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
Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Louisburg · 2 centers

Relief Integrated 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
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

McLeod Centers for Wellbeing - Facility Image
Insurance Accepted$$

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

Mocksville · 2 centers

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
Southern Family Medicine - 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

Morganton · 2 centers

High Country Community Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
New Season Morganton Treatment Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Newland · 2 centers

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
High Country Community Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

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

Reidsville · 2 centers

Placeholder image

ALEF Behavioral Group

Reidsville, NC

Insurance Accepted$$

Services:

Substance use treatment
Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Roanoke Rapids · 2 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

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

Shallotte · 2 centers

Shallotte Treatment Associates - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Coastal Horizons Inc - 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

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

Weaverville · 2 centers

Carolina Recovery Solutions - Facility Image
Insurance Accepted$$

Services:

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

Services:

DetoxificationSubstance use treatment

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

BHG Wilson Professional Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Journeys Mental Health and Wellness - 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

Aberdeen · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

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

Bayboro · 1 center

Placeholder image

Hope Clinic

Bayboro, NC

$$

Services:

Substance use treatment

Benson · 1 center

Neurology and Pain Management - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Black Mountain · 1 center

JFK Alcohol and Drug Abuse Trt Ctr - 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

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

Brasstown · 1 center

Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

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

Burlington · 1 center

RHA Health Services - Facility Image

RHA Health Services

Burlington, 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

Carrboro · 1 center

UNC Horizons Program - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Cary · 1 center

First Step Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Clayton · 1 center

Johnston Recovery Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Clinton · 1 center

Family First Support Center Inc - 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

Clyde · 1 center

BHG Clyde Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Dallas · 1 center

Amity Medical Group 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

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

Dunn · 1 center

Tri County Community Health - 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

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

Elm City · 1 center

Carolina Family Health Centers - 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

High Point · 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

Hookerton · 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

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

Indian Trail · 1 center

Placeholder image

New Beginnings

Indian Trail, NC

Insurance Accepted$$

Services:

Substance use treatment

Jefferson · 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

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

King · 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

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

Kinston · 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

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

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

Lenoir · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Marshall · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

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

Mills River · 1 center

Silver Ridge - Facility Image

Silver Ridge

Mills River, 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

Morrisville · 1 center

Neurology and Pain Management - Facility 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

Nags Head · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

New Bern · 1 center

PORT Health 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

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

Raeford · 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

Ridgecrest · 1 center

Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home

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

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Insurance Accepted$$

Services:

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

Rowland · 1 center

Hope Health Family Practice - 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

Roxboro · 1 center

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Insurance Accepted$$

Services:

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

Sanford · 1 center

Neurology and Pain Management - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Siler City · 1 center

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Chatham Recovery PLLC

Siler City, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Smithfield · 1 center

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Carter Clinic

Smithfield, 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

Sparta · 1 center

Daymark Recovery 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

Supply · 1 center

Start Fresh Treatment Center - Facility Image
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Services:

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

Swansboro · 1 center

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Insurance Accepted$$

Services:

Substance use treatment

Tarboro · 1 center

Carolina Family Health Centers 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

Taylorsville · 1 center

Addiction Recovery Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Thomasville · 1 center

Treatment Centers LLC - Facility Image

Treatment Centers LLC

Thomasville, NC

Insurance Accepted$$

Services:

Substance use treatment

Troy · 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

Wade · 1 center

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

Services:

Substance use treatment

Wake Forest · 1 center

Sol Medical Group - Facility Image

Sol Medical Group

Wake Forest, 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

Wallace · 1 center

Focused Addiction Recovery - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Warrenton · 1 center

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Insurance Accepted$$

Services:

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

Waynesville · 1 center

Euphoria Enterprises Inc - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Wendell · 1 center

Journeys in Mental Health and Wellness - 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 · 1 center

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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

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-payment276
  • Medicaid237
  • Private health insurance228
  • Medicare221
  • State-financed health insurance plan other than Medicaid202
  • Federal military insurance (e.g., TRICARE)155
Available Settings
  • 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

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

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