Methadone Treatment Centers in North Carolina
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 75 methadone clinics across North Carolina, with the largest concentrations in Asheville (6), Greenville (4) and Raleigh (4).
Methadone is a long-acting opioid medication used to treat opioid use disorder by eliminating withdrawal symptoms and cravings without producing a high. It is dispensed through federally certified Opioid Treatment Programs (OTPs) under strict SAMHSA and state regulations.
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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Methadone clinics in North Carolina
Asheville · 6 centers
Asheville Comprehensive Treatment Ctr
Asheville, NC
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Crossroads Treatment Centers
Asheville, NC
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October Road Inc
Asheville, NC
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Intentional Longevity
Asheville, NC
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Greenville · 4 centers
PORT Health Services
Greenville, NC
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Walter B Jones
Greenville, NC
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Raleigh · 4 centers
Morse Clinic of North Raleigh
Raleigh, NC
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Wilmington · 4 centers
Wilmington Treatment Center
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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Charlotte · 3 centers
Durham · 3 centers
Morse Clinic Of Durham PC
Durham, NC
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Greensboro · 3 centers
Crossroads Treatment Centers
Greensboro, NC
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Alcohol and Drug Services (ADS)
Greensboro, NC
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Fayetteville · 2 centers
Fayetteville Comprehensive Trt Center
Fayetteville, NC
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Gastonia · 2 centers
Hickory · 2 centers
North Wilkesboro · 2 centers
North Wilkesboro Comp Treatment Center
North Wilkesboro, NC
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Stepping Stone of North Carolina
North Wilkesboro, NC
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Shallotte · 2 centers
Coastal Horizons Inc
Shallotte, NC
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Statesville · 2 centers
Addiction Recovery Medical Services
Statesville, NC
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Winston Salem · 2 centers
Winston Salem Comprehensive Trt Ctr
Winston Salem, NC
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Insight Human Services Inc
Winston Salem, NC
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Apex · 1 center
Black Mountain · 1 center
JFK Alcohol and Drug Abuse Trt Ctr
Black Mountain, NC
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Boone · 1 center
Brasstown · 1 center
BayMark Hlth Servs of North Carolina
Brasstown, NC
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Clayton · 1 center
Johnston Recovery Services
Clayton, NC
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Clyde · 1 center
Concord · 1 center
Erwin · 1 center
Fairmont · 1 center
Stephens Outreach Center Inc
Fairmont, NC
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Franklin · 1 center
Hazelwood Healthcare PLLC
Franklin, NC
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Goldsboro · 1 center
Henderson · 1 center
Jacksonville · 1 center
Lenoir · 1 center
Lexington · 1 center
Marion · 1 center
Monroe · 1 center
Morehead City · 1 center
Morehead City Treatment Ctr LLC
Morehead City, NC
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Morganton · 1 center
Nags Head · 1 center
New Bern · 1 center
PORT Health Services
New Bern, NC
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Pinehurst · 1 center
Pinehurst Comprehensive Treatment Ctr
Pinehurst, NC
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Reidsville · 1 center
Roanoke Rapids · 1 center
Morse Clinic of Roanoke Rapids
Roanoke Rapids, NC
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Rocky Mount · 1 center
Rocky Mount Treatment Center
Rocky Mount, NC
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Salisbury · 1 center
Siler City · 1 center
Chatham Recovery PLLC
Siler City, NC
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Swansboro · 1 center
Taylorsville · 1 center
Addiction Recovery Medical Services
Taylorsville, NC
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Thomasville · 1 center
Waynesville · 1 center
Euphoria Enterprises Inc
Waynesville, NC
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Weaverville · 1 center
Crossroads Treatment Centers
Weaverville, NC
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Wilson · 1 center
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-payment74
- Medicaid73
- Medicare71
- Federal, or any government funding for substance use treatment programs48
- State-financed health insurance plan other than Medicaid48
- Private health insurance38
- Outpatient74
- Outpatient methadone/buprenorphine or naltrexone treatment73
- Regular outpatient treatment60
- Outpatient detoxification21
- Intensive outpatient treatment16
Frequently Asked Questions About Methadone in North Carolina
Is methadone only for heroin or fentanyl use, or does it also treat prescription opioid dependence?
methadone is approved for opioid use disorder involving any opioid — heroin, fentanyl, prescription oxycodone, hydrocodone, or morphine. North Carolina clinicians treat patients whose OUD started with a pain prescription just as readily as those using illicit opioids.
What is the cheapest way to get methadone in North Carolina?
For most North Carolina residents, NC Medicaid is the lowest-cost option — co-pays are usually $0–$3. Without Medicaid, federally qualified health centers with sliding-scale fees are next cheapest, followed by State Opioid Response–funded clinics.
Can I keep the same methadone provider when I switch NC Medicaid plans?
Usually yes, if your provider is in-network with the new plan. North Carolina MAT clinics typically contract with all major NC Medicaid managed-care organizations. Verify the provider’s network status before the effective date of your new plan to avoid interruption.
What if my health plan is out of state — can I use it in North Carolina for methadone?
Most PPO plans cover out-of-state MAT at in-network rates if the provider is part of the national network. HMO plans typically restrict coverage to in-state providers; call member services before starting methadone in North Carolina to verify.
What documentation does a North Carolina methadone clinic keep about me?
Clinics maintain a confidential medical record covering diagnosis, treatment plan, drug screens, counseling notes, and dose history. Records are protected by 42 CFR Part 2 — stricter than HIPAA — and cannot be released without your written consent or a specific court order.
Can I go back on methadone after stopping?
Yes. Returning to methadone after a gap in care is common and safe; your North Carolina clinic will re-induct using the same protocols as first-time patients. The federal 1-year waiting period sometimes referenced for methadone does not apply to re-admission.
What if I’m in withdrawal right now — where do I go in North Carolina?
Go to the nearest emergency department; North Carolina hospitals are equipped to initiate buprenorphine and connect you to outpatient MAT. You can also call 988 for a live counselor to locate an open bridge clinic or mobile MAT unit.
Will the clinician prescribe me other medications at the first visit?
Sometimes. Comfort medications for withdrawal (clonidine, ondansetron, loperamide) may be prescribed alongside methadone at your first visit. North Carolina clinicians will also address any mental-health medications, pain control, or chronic-disease meds that need coordination.
Will methadone show on a standard drug test?
Buprenorphine and methadone do not test positive on standard 5-panel drug tests — specialty panels are needed. Naltrexone and its metabolites are not screened on standard panels. Share an MAT provider letter with any employer or court drug-testing program to avoid confusion.
Can I deliver at any North Carolina hospital if I’m on methadone?
Yes. All North Carolina birthing hospitals are equipped to care for MAT patients. Choosing a hospital with a dedicated perinatal-addiction protocol — often larger urban hospitals — can improve experience. Discuss delivery location with your OB and MAT team well before the due date.
Can my counselor prescribe methadone?
No — counselors with master’s-level licensure (LCSW, LPC, LMFT) provide therapy but do not prescribe medication. A nurse practitioner, physician assistant, or physician on the North Carolina MAT team handles the prescription. Counselor and prescriber collaborate on your care plan.
Can I use a pseudonym for my methadone treatment in North Carolina?
No — medical records must use your legal name for billing, insurance, and DEA compliance. However, 42 CFR Part 2 confidentiality means that legal name is protected from disclosure. Pseudonymous treatment is not available in MAT.
Other Treatment Options in North Carolina
Methadone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)