Top 6 North Carolina Detox and Inpatient Rehab Centers

Updated on March 5, 2025

Residents of North Carolina can find many drug rehab facilities throughout the state that offer top-quality amenities, residential programs, and specialized services. The best facilities will include evidence-based and holistic therapies in their treatment modalities.

Data published by the Centers for Disease Control and Prevention (CDC) shows that over 4,300 people in North Carolina died due to drug overdose in 2022. Luckily, people with substance use disorders in the state have many options for reputable addiction treatment. The best rehab programs in North Carolina typically offer luxury living quarters, evidence-based treatment options, holistic healing services, and low client-to-staff ratios to ensure each person receives adequate attention.

One of the most important features of top rehabilitation centers in North Carolina is the presence of a residential program. This intensive level of care is imperative for people who have a severe addiction, co-occurring mental health disorders, or have experienced relapse in the past. Clients usually stay in residence for 30 to 90 days, and receive a range of therapies designed to address the issues underlying their substance abuse.

List Of North Carolina’s Best Addiction Treatment Centers

Our team has selected the following addiction treatment facilities in North Carolina based on accreditation status, Google ratings, levels of care, testimonials from past clients, and other marks of quality.

1. Anuvia Prevention And Recovery Center, Charlotte, North Carolina

Anuvia Prevention and Recovery Center has served the Charlotte, NC, community since 1958. This addiction treatment facility features a 32-bed residential program for up to 45 days, featuring medically monitored detox, individual and group therapy, family sessions, and relapse prevention planning. After residential treatment, Anuvia offers prevention services, court-ordered treatment, DWI classes, and outpatient programs.

Anuvia also offers an outpatient adolescent treatment program for people 12-17 years of age that includes 90-minute group therapy twice a week for 8-12 weeks, depending on treatment goals and progress. Other services may include group therapy, family therapy, life skills, decision-making skills, and more.

Trusted features:

  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • 4.3-star Google rating
  • client testimonials

Levels of care:

Treatment services:

  • mental health treatment
  • family therapy
  • case management
  • group therapy
  • life skills education
  • methadone maintenance
  • adolescent treatment

Payment options:

  • private health insurance
  • Medicaid
  • self-pay

Location and contact information:

429 Billingsley Rd.
Charlotte, NC 28211
(704) 445-6900

2. Black Mountain Substance Abuse Treatment Center For Women, Swannanoa, North Carolina

Black Mountain Substance Abuse Treatment Center is a 60-bed residential facility in a beautiful mountainous setting. The 90-day program serves women referred by courts or those transitioning from the state prison system. The treatment approach includes cognitive behavioral therapy (CBT), motivational enhancement therapy, and trauma-informed care. The facility admits females over the age of 18 who have completed detoxification, can function independently, and have stabilized mental health conditions with a 90-day supply of medications.

Trusted features:

  • state licensure
  • client testimonials
  • 4.4-star Google rating

Levels of care:

  • residential treatment

Treatment services:

  • motivational enhancement therapy (MET)
  • cognitive behavioral therapy (DBT)
  • group therapy
  • trauma-informed therapy
  • women’s addiction treatment
  • clinical services
  • case management
  • counseling

Payment options:

  • state-funded
  • free/low-cost

Location and contact information:

741 Old U.S. Hwy 70
Swannanoa, NC 28778
(828) 581-4231

3. Freedom Detox And Recovery Center, Gastonia, North Carolina

Freedom Detox and Recovery Center provides substance use treatment in a comfortable facility with eight private and 11 double-occupancy rooms. The residential program offers evidence-based treatment such as CBT, DBT, individual counseling, support groups, and equine-assisted therapy. During their stay, clients will have access to amenities such as cable TV, recreation areas, outdoor spaces, and a fully-stocked professional kitchen. Clients will also benefit from thorough aftercare planning, where they can continue to attend 12-step meetings and community support resources.

Trusted features:

  • Joint Commission accreditation
  • 4.5-star Google rating
  • LegitScript certification

Levels of care:

  • residential treatment
  • detoxification
  • aftercare

Treatment services:

  • group therapy
  • animal-assisted therapy
  • 12-step recovery groups
  • cognitive behavioral therapy (CBT)
  • dialectical behavior therapy (DBT)
  • holistic treatment

Payment options:

  • private health insurance
  • TRICARE
  • self-pay

Location and contact information:

1089 X-Ray Dr.
Gastonia, NC 28054
(833) 496-5150

4. Momentum Recovery, Wilmington, North Carolina

Momentum Recovery in Wilmington, NC, offers gender-specific trauma, mental health, and substance use treatment for young adults in a coastal setting. There are two separate programs: The Creek for men and The Cove for young women, both utilize evidence-based services such as CBT, DBT, EMDR, psychodrama, and more. The four-phase approach helps clients center themselves, discover joy, learn life skills, and build a strong support network.

Due to the coastal location, clients will be able to enjoy activities such as surfing, swimming, paddle boarding, and kayaking as part of their recovery program. With modern accommodations and an expert treatment team, Momentum Recovery can give each resident the best chance at long-term sobriety.

Trusted features:

  • Joint Commission accreditation
  • National Association of Addiction Treatment Providers (NAATP) membership
  • LegitScript certification

Levels of care:

Treatment services:

  • dual diagnosis treatment
  • eye movement desensitization and reprocessing (EMDR)
  • cognitive behavioral therapy (CBT)
  • trauma-informed therapy
  • gender-specific treatment
  • mental health treatment
  • art therapy
  • holistic treatment

Payment options:

  • private health insurance
  • self-pay

Location and contact information:

5027 Wrightsville Ave.
Wilmington, NC 28403
(888) 815-5502

5. New Waters Recovery, Raleigh, North Carolina

New Waters Recovery is an inpatient facility in Raleigh, NC, that specializes in detox and mental health services. This luxury, spa-like facility provides chef-prepared meals, massage therapy, acupuncture, infrared sauna, fitness facilities, yoga, meditation, and breathwork. The exclusive executive program caters to professionals requiring heightened discretion and work flexibility. After completing treatment, clients and their clinical team will develop an aftercare plan that connects them to follow-up services.

New Waters Recovery offers private, semi-private, and executive accommodations. Each room is equipped with a flat-screen television and Bluetooth headphones. Clients will also have access to snacks as well as gourmet food.

Trusted features:

  • Joint Commission accreditation
  • 4.6-star Google rating
  • client testimonials

Levels of care:

  • residential treatment
  • detoxification
  • outpatient program (OP)

Treatment services:

  • holistic treatment
  • psychiatric services
  • mental health treatment
  • counseling
  • drug testing
  • diagnostic assessments
  • treatment referrals

Payment options:

  • private health insurance
  • self-pay

Location and contact information:

3810 Bland Rd.
Raleigh, NC 27609
(919) 900-8590

6. Red Oak Recovery, Leicester, North Carolina

Red Oak Recovery in Leicester, NC, offers a gender-specific program for men set in the Blue Ridge Mountains. The treatment approach at Red Oak features clinicians with credentials in mental health and addiction, providing an extended 70 to 90-day flexible stay with at least 30 hours of weekly therapy. In addition to research-backed services such as CBT, DBT, and EMDR, clients can access holistic healing such as yoga and meditation practice, as well as adventure therapy in a wilderness setting. The trauma-informed approach at Red Oak targets the root causes of addiction rather than only attempting to modify behavior.

Trusted features:

  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • National Association of Addiction Treatment Providers (NAATP) membership
  • LegitScript certification

Levels of care:

  • residential treatment

Treatment services:

  • 12-step recovery groups
  • men’s addiction treatment
  • dual diagnosis treatment
  • holistic treatment
  • relapse prevention
  • eye movement desensitization and reprocessing (EMDR)
  • cognitive behavioral therapy (CBT)
  • dialectical behavior therapy (DBT)
  • group therapy
  • family therapy
  • animal-assisted therapy

Payment options:

  • private health insurance
  • self-pay

Location and contact information:

631 Willow Creek Rd.
Leicester, NC 28748
(828) 672-2865

How We Chose Substance Use Treatment Centers For This List

There are several factors our team considered when choosing the best drug rehab facilities for this list. Below are some of our selection criteria.

Selection criteria includes:

  • state licensure or accreditations from nationally recognized organizations
  • positive testimonials from clients who have completed the program
    multiple levels of care, particularly residential programs
  • low client-to-staff ratios
  • holistic and science-backed treatment options
  • high Google ratings
  • luxury accommodations, such as private or semi-private rooms
  • robust aftercare and alumni programs to support long-term recovery

Choosing a rehab center that meets your needs can be stressful. If you have questions about what to look for in a substance use treatment facility, talk to your primary care provider or an addiction specialist for guidance.

FAQs About Top-Tier Drug And Alcohol Rehab Programs In North Carolina

The frequently asked questions below may help you or your loved ones narrow your search for a North Carolina rehabilitation program.

Many North Carolina rehab centers accept private insurance, with coverage varying based on your specific plan. For those without insurance, facilities often offer sliding fee scales, payment plans, or financing options. Some facilities also accept Medicaid or Medicare, and state-funded programs exist for individuals with financial limitations.

Residential treatment programs in North Carolina typically range from 30 to 90 days, depending on addiction severity and the presence of co-occurring disorders. Some luxury or specialized programs may extend to six months or longer, especially for complex cases. Most programs conduct assessments upon admission to recommend an appropriate length of stay and may be adjusted based on progress.

Many North Carolina rehabilitation centers focus on specific populations, offering gender-specific programs, services for veterans or first responders, LGBTQ+-affirming care, or age-specific treatment for adolescents or older adults. Luxury or executive programs are also available in the state, though these exclusive services often cost much more.

Find Substance Abuse Treatment Today

Take a look at our directory or contact the Substance Abuse and Mental Health Services Administration (SAMHSA) for more information on finding an addiction recovery program that works for you.

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