Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA
Naltrexone Treatment Centers in North Carolina
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 210 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:
- 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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Naltrexone providers in North Carolina
Filters:
Jump to city:Asheville 14Charlotte 12Raleigh 12Fayetteville 8Durham 7Wilmington 7Winston Salem 7Greensboro 5Greenville 5Chapel Hill 4Gastonia 4Jacksonville 4+90 more
Asheville · 14 centers
Asheville Comprehensive Treatment Ctr
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatment
Daymark Recovery Services
Asheville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Start Fresh Treatment Center
Asheville, NC
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
MAHEC Center for Psychiatry and
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
October Road Inc
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
RHA Health Services
Asheville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Real Recovery by Pyramid Healthcare
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mayrx LLC
Asheville, NC
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Insight Human Services
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mission Hospital Copestone
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Charlotte · 12 centers
Amity Medical Group Inc
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Blanchard Institute
Charlotte, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
South Charlotte VA Healthcare Center
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Anuvia Prevention and Recovery Center
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Anuvia Prevention and Recovery Center
Charlotte, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Genesis Project 1 Inc
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Atrium Health Addiction Services
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Atrium Health Addiction Services
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
LMS Medical Services PLLC
Charlotte, NC
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Raleigh · 12 centers
Green Hill Recovery LLC
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
SouthLight Healthcare
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carolina Performance
Raleigh, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
SouthLight Healthcare
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carter Clinic
Raleigh, NC
Insurance Accepted$$
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 North Raleigh
Raleigh, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
AIM Advaita Integrated Medicine
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Childrens Campus
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
The Pines
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fayetteville · 8 centers
Cumberland Recovery Response Center
Fayetteville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fayetteville Comprehensive Trt Center
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatment
Life Net Services LLC
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Life Net Services LLC
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Better Beginnings Healthcare Solutions
Fayetteville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carter Clinic
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Cumberland County CommuniCare
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Durham · 7 centers
Eleanor Health
Durham, NC
Insurance Accepted$$
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
Durham, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sol Medical Group
Durham, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Freedom House Recovery Center
Durham, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Freedom House Recovery Center
Durham, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Reliable Health Services
Durham, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington · 7 centers
A Brighter Start
Wilmington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington Treatment Center
Wilmington, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Coastal Horizons Center Inc
Wilmington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Launch Pad Wellness
Wilmington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington Mental Health
Wilmington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Winston Salem · 7 centers
Addiction Recovery Care Association
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Daymark Recovery Services
Winston Salem, NC
Insurance Accepted$$
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
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Old Vineyard Behavioral Health Service
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Insight Human Services Inc
Winston Salem, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Novant Health Forsyth Medical Center
Winston Salem, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wake Forest Baptist Health
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Greensboro · 5 centers
Fellowship Hall Inc
Greensboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Family Services of the Piedmont
Greensboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
New Vision Therapy PLLC
Greensboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alcohol and Drug Services (ADS)
Greensboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Greenville · 5 centers
PORT Health Services
Greenville, NC
Insurance Accepted$$
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
Greenville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
PORT Health Services
Greenville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pathways to Life Inc
Greenville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Walter B Jones
Greenville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Chapel Hill · 4 centers
Freedom House Recovery Center
Chapel Hill, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Freedom House Recovery Center
Chapel Hill, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Freedom House Recovery Center
Chapel Hill, NC
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Gastonia · 4 centers
Phoenix Counseling Center
Gastonia, NC
Insurance Accepted$$
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
Gastonia, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Jacksonville · 4 centers
Dix Crisis Intervention Center
Jacksonville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Coastal Carolina Neuropsychiatric Ctr
Jacksonville, NC
Insurance Accepted$$
Services:
Substance use treatment
Positive Life Changes
Jacksonville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lumberton · 4 centers
RHA Health Services
Lumberton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carter Clinic
Lumberton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Stephens Outreach Center Inc
Lumberton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Goldsboro · 3 centers
Family Medicine and Rehab Center
Goldsboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Waynesboro Family Clinic
Goldsboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Medical Care Inc
Goldsboro, NC
Insurance Accepted$$
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
Hickory, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Integrated Care of Greater Hickory
Hickory, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cognitive Connection
Hickory, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pinehurst · 3 centers
Daymark Recovery Services
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pinehurst Comprehensive Treatment Ctr
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatment
Rocky Mount · 3 centers
Monarch
Rocky Mount, NC
Insurance Accepted$$
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
Rocky Mount, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Nash UNC Healthcare
Rocky Mount, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Salisbury · 3 centers
Daymark Recovery Services
Salisbury, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Salisbury VA Medical Center
Salisbury, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Shelby · 3 centers
Foothills Consulting and Associates
Shelby, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Phoenix Counseling Center
Shelby, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Phoenix Counseling Center
Shelby, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Statesville · 3 centers
Daymark Recovery Services
Statesville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Addiction Recovery Medical Services
Statesville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Albemarle · 2 centers
Daymark Recovery Services
Albemarle, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Monarch
Albemarle, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Asheboro · 2 centers
Triad Therapy
Asheboro, NC
Insurance Accepted$$
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
Asheboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Boone · 2 centers
Henderson · 2 centers
Genesis Project North
Henderson, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Laurinburg · 2 centers
Carter Clinic
Laurinburg, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lexington · 2 centers
Daymark Recovery Services
Lexington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Louisburg · 2 centers
Relief Integrated Healthcare
Louisburg, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Vision Behavioral Health Servs LLC
Louisburg, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Monroe · 2 centers
Daymark Recovery Services
Monroe, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Morehead City · 2 centers
PORT Health Services
Morehead City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Family Medicine and Rehab Center
Morehead City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Newland · 2 centers
Daymark Recovery Services
Newland, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
North Wilkesboro · 2 centers
Daymark Recovery Services
North Wilkesboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
North Wilkesboro Comp Treatment Center
North Wilkesboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Reidsville · 2 centers
Washington · 2 centers
Metropolitan Community Hlth Servs Inc
Washington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
DREAM Provider Care Services
Washington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Williamston · 2 centers
Metropolitan Community Hlth Servs Inc
Williamston, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
DREAM Provider Care Services
Williamston, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Arden · 1 center
Insight Recovery Center
Arden, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Bakersville · 1 center
RHA Health Services Inc
Bakersville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bayboro · 1 center
Black Mountain · 1 center
JFK Alcohol and Drug Abuse Trt Ctr
Black Mountain, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bladenboro · 1 center
RHA Health Services
Bladenboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Burgaw · 1 center
Coastal Horizons Center Inc
Burgaw, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Carrboro · 1 center
Cary · 1 center
Clayton · 1 center
Johnston Recovery Services
Clayton, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Clinton · 1 center
Family First Support Center Inc
Clinton, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Concord · 1 center
Daymark Recovery Services
Concord, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dallas · 1 center
Amity Medical Group Inc
Dallas, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dobson · 1 center
Hope Valley Inc
Dobson, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Dunn · 1 center
Tri County Community Health
Dunn, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Ellenboro · 1 center
Foothills at Red Oak Recovery
Ellenboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Elm City · 1 center
Carolina Family Health Centers
Elm City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Erwin · 1 center
Fairmont · 1 center
Stephens Outreach Center Inc
Fairmont, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fletcher · 1 center
Willows at Red Oak Recovery
Fletcher, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Franklin · 1 center
Hazelwood Healthcare PLLC
Franklin, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hendersonville · 1 center
UNC Health Pardee
Hendersonville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
High Point · 1 center
Daymark Recovery Services
High Point, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hookerton · 1 center
Positive Life Changes
Hookerton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Huntersville · 1 center
Blanchard Institute
Huntersville, NC
Insurance Accepted$$
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
Jefferson, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kernersville · 1 center
Kernersville VA Healthcare Center
Kernersville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kings Mountain · 1 center
Atrium Health
Kings Mountain, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kinston · 1 center
Kinston Community Behav Health Ctr
Kinston, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kitty Hawk · 1 center
Changing Tides
Kitty Hawk, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Leicester · 1 center
Red Oak Recovery
Leicester, NC
Insurance Accepted$$
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
Lillington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Marion · 1 center
RHA Behavioral Health Services
Marion, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Marshall · 1 center
Mill Spring · 1 center
Pavillon
Mill Spring, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mills River · 1 center
Silver Ridge
Mills River, NC
Insurance Accepted$$
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
Mocksville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mooresville · 1 center
Southern Family Medicine
Mooresville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Morganton · 1 center
Mount Airy · 1 center
Daymark Recovery Services
Mount Airy, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
New Bern · 1 center
PORT Health Services
New Bern, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Norlina · 1 center
Lake Area Counseling Halfway House
Norlina, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Pembroke · 1 center
Southeastern Integrated Care LLC
Pembroke, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pilot Mountain · 1 center
Plymouth · 1 center
DREAM Provider Care Services
Plymouth, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Raeford · 1 center
Daymark Recovery Services
Raeford, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Ridgecrest · 1 center
FIRST at Blue Ridge Inc
Ridgecrest, NC
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Roanoke Rapids · 1 center
Morse Clinic of Roanoke Rapids
Roanoke Rapids, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Rockingham · 1 center
Sandhills Behavioral Care PLLC
Rockingham, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Rocky Point · 1 center
Coastal Horizons Center Inc
Rocky Point, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Rose Hill · 1 center
New Dimension Group LLC
Rose Hill, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Rowland · 1 center
Hope Health Family Practice
Rowland, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Roxboro · 1 center
Freedom House Recovery Center
Roxboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Shallotte · 1 center
Coastal Horizons Inc
Shallotte, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Siler City · 1 center
Chatham Recovery PLLC
Siler City, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Smithfield · 1 center
Carter Clinic
Smithfield, NC
Insurance Accepted$$
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
Sparta, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Supply · 1 center
Start Fresh Treatment Center
Supply, NC
$$
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
Tarboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Taylorsville · 1 center
Addiction Recovery Medical Services
Taylorsville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Thomasville · 1 center
Wake Forest · 1 center
Sol Medical Group
Wake Forest, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wallace · 1 center
Warrenton · 1 center
Freedom House Recovery Center
Warrenton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Weaverville · 1 center
Carolina Recovery Solutions
Weaverville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Wendell · 1 center
Journeys in Mental Health and Wellness
Wendell, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Whiteville · 1 center
RHA Health Services
Whiteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilson · 1 center
Journeys Mental Health and Wellness
Wilson, NC
Insurance Accepted$$
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
Zebulon, NC
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-payment198
- Private health insurance174
- Medicaid165
- State-financed health insurance plan other than Medicaid158
- Medicare154
- Federal military insurance (e.g., TRICARE)113
Available Settings
- Outpatient183
- Regular outpatient treatment164
- Outpatient methadone/buprenorphine or naltrexone treatment162
- Intensive outpatient treatment93
- Outpatient day treatment or partial hospitalization42
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
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)