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

Naltrexone Treatment Centers in North Carolina

Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026

Our directory lists 246 naltrexone providers across North Carolina, with the largest concentrations in Asheville (14), Charlotte (12) and Raleigh (12).

Naltrexone (Vivitrol, Revia) is an opioid antagonist used to treat both alcohol use disorder and opioid dependence. Available as a daily oral tablet or monthly extended-release injection, it blocks opioid receptors to reduce cravings and prevent relapse.

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.

Naltrexone 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)

210

naltrexone 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

Coverage & Regulations in North CarolinaSources verified: 2026-05-14

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 in North Carolina
  • Cash or self-payment198
  • Private health insurance174
  • Medicaid165
  • State-financed health insurance plan other than Medicaid158
  • Medicare154
  • Federal military insurance (e.g., TRICARE)113
Available Treatment Settings in North Carolina
  • Outpatient183
  • Regular outpatient treatment164
  • Outpatient methadone/buprenorphine or naltrexone treatment162
  • Intensive outpatient treatment93
  • Outpatient day treatment or partial hospitalization42

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Naltrexone Treatment Providers in North Carolina

Naltrexone providers in North Carolina

Filters:

Asheville · 14 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

Charlotte · 12 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
Sign language services for the deaf and hard of hearing
Blanchard Institute - Facility Image

Blanchard Institute

Charlotte, NC

Insurance Accepted$$

Services:

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

Raleigh · 12 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
Solas Health PLLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

Fayetteville · 8 centers

Cumberland Recovery Response Center - Facility Image
Insurance Accepted$$

Services:

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

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Life Net Services LLC - Facility Image

Life Net Services LLC

Fayetteville, 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
Spanish

Durham · 7 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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
BAART Community Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Wilmington · 7 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 · 7 centers

Addiction Recovery Care Association - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

Greensboro · 5 centers

Fellowship Hall Inc - Facility Image

Fellowship Hall Inc

Greensboro, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Sign language services for the deaf and hard of hearing
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
Spanish
New Vision Therapy 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

Greenville · 5 centers

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
Sign language services for the deaf and hard of hearing
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

Chapel Hill · 4 centers

Placeholder image
Insurance Accepted$$

Services:

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

Services:

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

Services:

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

Gastonia · 4 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

Jacksonville · 4 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
Sign language services for the deaf and hard of hearing

Lumberton · 4 centers

Solas Health PLLC - Facility Image

Solas Health PLLC

Lumberton, NC

Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
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
Placeholder image

Carter Clinic

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

Goldsboro · 3 centers

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

Services:

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

Services:

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

Medical Care Inc

Goldsboro, 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

Hickory · 3 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
Sign language services for the deaf and hard of hearing
Integrated Care of Greater Hickory - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cognitive Connection - 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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
Pinehurst Comprehensive Treatment Ctr - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
Solas Health PLLC - Facility Image

Solas Health PLLC

Pinehurst, NC

Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

Rocky Mount · 3 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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
Nash UNC Healthcare - Facility Image

Nash UNC Healthcare

Rocky Mount, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing

Salisbury · 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
Sign language services for the deaf and hard of hearing+1 more
Salisbury VA Medical Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Treatment Centers LLC - Facility Image
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:

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

Statesville · 3 centers

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Carolina Specialty Care PA - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
Addiction Recovery Medical Services - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Spanish

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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

Boone · 2 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

Henderson · 2 centers

Placeholder image
Insurance Accepted$$

Services:

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

Vance Recovery

Henderson, NC

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Spanish

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
Creole+2 more

Lexington · 2 centers

Daymark Recovery Services - Facility Image
Insurance Accepted$$

Services:

Detoxification
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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

Monroe · 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
Sign language services for the deaf and hard of hearing
Placeholder image

Medasic Monroe

Monroe, NC

Insurance Accepted$$

Services:

Substance use treatment

Morehead City · 2 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
Sign language services for the deaf and hard of hearing
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

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
Sign language services for the deaf and hard of hearing
High Country Community Health - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

North Wilkesboro · 2 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
Sign language services for the deaf and hard of hearing
North Wilkesboro Comp Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance 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

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
Spanish

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
Spanish

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
Sign language services for the deaf and hard of hearing

Bayboro · 1 center

Placeholder image

Hope Clinic

Bayboro, NC

$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Spanish

Carrboro · 1 center

UNC Horizons Program - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

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

Concord · 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
Sign language services for the deaf and hard of hearing

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
Spanish

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
Sign language services for the deaf and hard of hearing+1 more

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
Sign language services for the deaf and hard of hearing

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

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
Sign language services for the deaf and hard of hearing

Kernersville · 1 center

Kernersville VA Healthcare Center - Facility Image
Insurance Accepted$$

Services:

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

Kings Mountain · 1 center

Atrium Health - Facility Image

Atrium Health

Kings Mountain, NC

Insurance Accepted$$

Services:

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

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

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

Lillington · 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
Sign language services for the deaf and hard of hearing

Marion · 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
Sign language services for the deaf and hard of hearing

Marshall · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

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

Mocksville · 1 center

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

Mooresville · 1 center

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 · 1 center

High Country Community Health - 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
Sign language services for the deaf and hard of hearing

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

Pembroke · 1 center

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

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
Spanish

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
Sign language services for the deaf and hard of hearing

Ridgecrest · 1 center

Placeholder image
$$

Services:

Substance use treatmentTransitional housing, halfway house, or sober home
Spanish

Roanoke Rapids · 1 center

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

Services:

DetoxificationSubstance use treatment
Any Chinese Language+1 more

Rockingham · 1 center

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
French+2 more

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
Spanish

Rose Hill · 1 center

Placeholder image
Insurance Accepted$$

Services:

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

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

Shallotte · 1 center

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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

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
Spanish

Thomasville · 1 center

Treatment Centers LLC - Facility Image

Treatment Centers LLC

Thomasville, NC

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
Spanish

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

Weaverville · 1 center

Carolina Recovery Solutions - Facility Image
Insurance Accepted$$

Services:

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

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
Spanish

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
Sign language services for the deaf and hard of hearing

Wilson · 1 center

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

Zebulon · 1 center

Morse Clinic of Zebulon - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Spanish

Showing 210 of 246 naltrexone providers in North Carolina. Browse all centers in North Carolina

Frequently Asked Questions About Naltrexone in North Carolina

Can I do MAT if I also use alcohol or stimulants?

Yes. Using other substances does not disqualify you from naltrexone. Most North Carolina programs encourage honest disclosure at intake so the team can monitor for drug interactions, adjust the care plan, and refer you to parallel treatment for alcohol or stimulant use where indicated.

Can I get free naltrexone treatment in North Carolina?

Free naltrexone treatment is possible in North Carolina for patients who qualify for NC Medicaid, are enrolled in State Opioid Response–funded clinics, or use charity-care programs at community behavioral-health centers. Call 988 or 1-800-662-4357 for live referrals.

Do I need prior authorization for naltrexone under NC Medicaid?

Most NC Medicaid plans have eliminated prior authorization for MAT medications, but long-acting injectables like Sublocade and Vivitrol may still require PA. Your North Carolina provider’s billing staff will handle any authorizations needed before your first dose.

How high is my deductible likely to be for naltrexone treatment?

Marketplace silver plans in North Carolina typically have $4,000–$7,500 individual deductibles. MAT visits accumulate toward the deductible until it is met; after that, coinsurance typically drops to 20–30%. HSA and HRA funds can cover MAT out-of-pocket costs.

Can I transfer my methadone or buprenorphine prescription to another North Carolina provider?

Yes. Your current North Carolina clinic will send clinical records and dose history to the new provider with your written consent. For methadone, the receiving OTP verifies dose and last attendance before admission; for buprenorphine, transfers can happen within 24–48 hours.

How long does naltrexone treatment typically last in North Carolina?

Many North Carolina patients stay on naltrexone for a year or more, and some stay indefinitely. Duration depends on individual stability, quality of life, and risk of relapse. Research consistently shows that longer MAT duration is associated with lower overdose mortality.

Can I start naltrexone the same day I call?

Same-day induction is increasingly common in North Carolina — especially for buprenorphine at low-barrier clinics and in emergency departments. Methadone same-day starts depend on OTP capacity; call early in the day to maximize your chance of same-day intake.

Will I get medication on the first day of naltrexone?

Usually yes. North Carolina programs following low-barrier protocols provide the first buprenorphine dose or naltrexone prescription on day one. Methadone first doses are administered in-clinic and require SAMHSA-certified protocols that are typically completed during the intake visit.

Is naltrexone addictive?

Physical dependence on naltrexone (methadone or buprenorphine) develops over time — but addiction is different from dependence. Addiction involves compulsive use despite harm; MAT at a stable prescribed dose does not produce that pattern. Naltrexone is not addictive and causes no physical dependence.

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.

What happens in naltrexone counseling sessions?

Sessions cover craving management, relapse-prevention skills, coping strategies, relationship issues, trauma processing if relevant, and goal setting for recovery. The counselor and client collaborate on a written treatment plan that is updated every 30–90 days in North Carolina.

Does naltrexone 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

Naltrexone Treatment in Other States

Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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