Medically Reviewed Content
Updated: October 2026
Sources: SAMHSA, NIDA
Naltrexone Treatment Centers in North Carolina
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 248 naltrexone providers across North Carolina, with the largest concentrations in Charlotte (16), Asheville (14) 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-payment224
- Private health insurance202
- Medicaid197
- State-financed health insurance plan other than Medicaid183
- Medicare175
- Federal military insurance (e.g., TRICARE)134
Available Treatment Settings in North Carolina
- Outpatient214
- Regular outpatient treatment191
- Outpatient methadone/buprenorphine or naltrexone treatment184
- Intensive outpatient treatment112
- Outpatient day treatment or partial hospitalization57
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Naltrexone Treatment Providers in North Carolina
Naltrexone providers in North Carolina
Filters:
Jump to city:Charlotte 16Asheville 14Raleigh 12Durham 8Fayetteville 8Winston Salem 8Greenville 7Wilmington 7Greensboro 6Gastonia 5Jacksonville 5Chapel Hill 4+99 more
Charlotte · 16 centers
Amity Medical Group Inc
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Atrium Health Mercy
Charlotte, NC
Insurance Accepted$$
Services:
Detoxification
Sign language services for the deaf and hard of hearing
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
Carolina Outpatient Detox
Charlotte, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Harmony Recovery Center
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Hope Haven Inc
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Integrated BH Management Inc
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatment
French+2 more
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
Sign language services for the deaf and hard of hearing
Atrium Health Addiction Services
Charlotte, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
LMS Medical Services PLLC
Charlotte, NC
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
October Road Inc
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
RHA Health Services
Asheville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
Insight Human Services
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Mission Hospital Copestone
Asheville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Raleigh · 12 centers
Green Hill Recovery LLC
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Solas Health PLLC
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
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
Any Chinese Language+2 more
SouthLight Healthcare
Raleigh, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Carter Clinic
Raleigh, NC
Insurance Accepted$$
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
Durham · 8 centers
Eleanor Health
Durham, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Morse Clinic Of Durham PC
Durham, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
B and D Integrated Health Services
Durham, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Sign language services for the deaf and hard of hearing
Sol Medical Group
Durham, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fayetteville · 8 centers
Cumberland Recovery Response Center
Fayetteville, NC
Insurance Accepted$$
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$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Life Net Services LLC
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Life Net Services LLC
Fayetteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Better Beginnings Healthcare Solutions
Fayetteville, NC
Insurance Accepted$$
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
Winston Salem · 8 centers
Addiction Recovery Care Association
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Daymark Recovery Services
Winston Salem, NC
Insurance Accepted$$
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
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Old Vineyard Behavioral Health Service
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Insight Human Services Inc
Winston Salem, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Spring Life Behavioral Care LLC
Winston Salem, NC
Insurance Accepted$$
Services:
Substance use treatment
Novant Health Forsyth Medical Center
Winston Salem, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Wake Forest Baptist Health
Winston Salem, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Greenville · 7 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
Sign language services for the deaf and hard of hearing
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$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wilmington · 7 centers
A Brighter Start
Wilmington, NC
Insurance Accepted$$
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
Sign language services for the deaf and hard of hearing+1 more
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
Reflections of Hope LLP
Wilmington, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Greensboro · 6 centers
Fellowship Hall Inc
Greensboro, NC
Insurance Accepted$$
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
Greensboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
New Vision Therapy PLLC
Greensboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Behavioral Health Hospital
Greensboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Alcohol and Drug Services (ADS)
Greensboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Gastonia · 5 centers
Phoenix Counseling Center
Gastonia, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
A Safe Place Empowerment Network Inc
Gastonia, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in childrenTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Integrated Care of Greater Hickory
Gastonia, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Jacksonville · 5 centers
Dix Crisis Intervention Center
Jacksonville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Coastal Carolina Neuropsychiatric Ctr
Jacksonville, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Easterseals PORT Health
Jacksonville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Positive Life Changes
Jacksonville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Chapel Hill · 4 centers
Freedom House Recovery Center
Chapel Hill, NC
Insurance Accepted$$
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
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Freedom House Recovery Center
Chapel Hill, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lumberton · 4 centers
Solas Health PLLC
Lumberton, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
RHA Health Services
Lumberton, NC
Insurance Accepted$$
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
Pinehurst · 4 centers
Daymark Recovery Services
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Pinehurst Comprehensive Treatment Ctr
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Solas Health PLLC
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Carolina Medical and Wellness Clinic
Pinehurst, NC
Insurance Accepted$$
Services:
Substance use treatment
Salisbury · 4 centers
Daymark Recovery Services
Salisbury, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Salisbury VA Medical Center
Salisbury, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Rowan Regional Medical Center
Salisbury, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Shelby · 4 centers
Shelby Comprehensive Treatment Center
Shelby, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Goldsboro · 3 centers
Family Medicine and Rehab Center
Goldsboro, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Integrated Care of Greater Hickory
Hickory, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cognitive Connection
Hickory, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
High Point · 3 centers
Daymark Recovery Services
High Point, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
High Point Behavioral Health
High Point, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Morehead City · 3 centers
PORT Health Services
Morehead City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Family Medicine and Rehab Center
Morehead City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Morehead City CBOC
Morehead City, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Rocky Mount · 3 centers
Monarch
Rocky Mount, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Nash UNC Healthcare
Rocky Mount, NC
Insurance Accepted$$
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
Rocky Mount, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Statesville · 3 centers
Daymark Recovery Services
Statesville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Carolina Specialty Care PA
Statesville, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Addiction Recovery Medical Services
Statesville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Ahoskie · 2 centers
Easterseals PORT Health
Ahoskie, NC
Insurance Accepted$$
Services:
DetoxificationTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Albemarle · 2 centers
Daymark Recovery Services
Albemarle, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Monarch
Albemarle, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Asheboro · 2 centers
Triad Therapy
Asheboro, NC
Insurance Accepted$$
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$$
Services:
DetoxificationSubstance use treatment
Boone · 2 centers
Clinton · 2 centers
Changing Paths of NC
Clinton, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Spanish
Family First Support Center Inc
Clinton, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Concord · 2 centers
Daymark Recovery Services
Concord, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Henderson · 2 centers
Genesis Project North
Henderson, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Vance Recovery
Henderson, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Kinston · 2 centers
Kinston Community Behav Health Ctr
Kinston, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Laurinburg · 2 centers
Carter Clinic
Laurinburg, NC
Insurance Accepted$$
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$$
Services:
Detoxification
Sign language services for the deaf and hard of hearing
Daymark Recovery Services
Lexington, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Morganton · 2 centers
My Next Steps of Morganton
Morganton, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
New Bern · 2 centers
PORT Health Services
New Bern, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
A Brighter Start Health and Wellness
New Bern, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Newland · 2 centers
Daymark Recovery Services
Newland, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
North Wilkesboro · 2 centers
Daymark Recovery Services
North Wilkesboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
North Wilkesboro Comp Treatment Center
North Wilkesboro, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Plymouth · 2 centers
DREAM Provider Care Services
Plymouth, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Raeford · 2 centers
Daymark Recovery Services
Raeford, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
EliteGroup Services
Raeford, NC
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Reidsville · 2 centers
Roanoke Rapids · 2 centers
Morse Clinic of Roanoke Rapids
Roanoke Rapids, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Any Chinese Language+1 more
Spring Life Behavioral Care LLC
Roanoke Rapids, NC
Insurance Accepted$$
Services:
Substance use treatment
Rockingham · 2 centers
Sandhills Behavioral Care PLLC
Rockingham, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
French+2 more
Smithfield · 2 centers
Restoration Family Services Inc
Smithfield, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Carter Clinic
Smithfield, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wake Forest · 2 centers
Sol Medical Group
Wake Forest, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
B and D Integrated Health Services
Wake Forest, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Sign language services for the deaf and hard of hearing
Washington · 2 centers
Metropolitan Community Hlth Servs Inc
Washington, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Williamston · 2 centers
Metropolitan Community Hlth Servs Inc
Williamston, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Arden · 1 center
Insight Recovery Center
Arden, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Bakersville · 1 center
RHA Health Services Inc
Bakersville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Bayboro · 1 center
Hope Clinic
Bayboro, NC
$$
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
Black Mountain, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Bladenboro · 1 center
RHA Health Services
Bladenboro, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Burgaw · 1 center
Coastal Horizons Center Inc
Burgaw, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Burlington · 1 center
Residential Trt Servs of Alamance Inc
Burlington, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Carrboro · 1 center
UNC Horizons Program
Carrboro, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Cary · 1 center
Clayton · 1 center
Johnston Recovery Services
Clayton, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Elizabeth City · 1 center
Spring Life Behavioral Care LLC
Elizabeth City, NC
Insurance Accepted$$
Services:
Substance use treatment
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
Morse Clinic of Dunn
Erwin, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Fairmont · 1 center
Stephens Outreach Center Inc
Fairmont, NC
Insurance Accepted$$
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
Garner · 1 center
Raleigh Oaks Behavioral Health
Garner, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Hamlet · 1 center
Hendersonville · 1 center
UNC Health Pardee
Hendersonville, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Kernersville · 1 center
Kernersville VA Healthcare Center
Kernersville, NC
Insurance Accepted$$
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$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kitty Hawk · 1 center
Changing Tides
Kitty Hawk, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Landis · 1 center
Troyer Medical
Landis, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Leicester · 1 center
Red Oak Recovery
Leicester, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Marion · 1 center
RHA Behavioral Health Services
Marion, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Marshall · 1 center
Madison County Health Department
Marshall, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Mill Spring · 1 center
Pavillon
Mill Spring, NC
Insurance Accepted$$
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mount Airy · 1 center
Daymark Recovery Services
Mount Airy, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
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
Ridgecrest · 1 center
FIRST at Blue Ridge Inc
Ridgecrest, NC
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Spanish
Rocky Point · 1 center
Coastal Horizons Center Inc
Rocky Point, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Rutherfordton · 1 center
Rutherford Regional Health System
Rutherfordton, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Shallotte · 1 center
Coastal Horizons Inc
Shallotte, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Siler City · 1 center
Chatham Recovery PLLC
Siler City, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sparta · 1 center
Daymark Recovery Center
Sparta, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Supply · 1 center
Start Fresh Treatment Center
Supply, NC
$$
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
Spanish
Thomasville · 1 center
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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Whiteville · 1 center
RHA Health Services
Whiteville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Wilson · 1 center
Journeys Mental Health and Wellness
Wilson, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Yadkinville · 1 center
Rise Up
Yadkinville, NC
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Youngsville · 1 center
Innovative Behavioral Health Servs PC
Youngsville, NC
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in childrenTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Zebulon · 1 center
Morse Clinic of Zebulon
Zebulon, NC
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
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)