Find Drug & Alcohol Detox Centers in Wilmington, NC

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Detox Centers in Wilmington

15 Results

Name	Address	Detox Service Setting	Levels Of Care
CapeSide Psychiatry	311 Judges Road Wilmington, NC 28405	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientDual Diagnosis
Coastal Horizons Center	615 Shipyard Boulevard Wilmington, NC 28412	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientIntensive Outpatient
Kelly House Program – Closed	1507 Martin Street Wilmington, NC 28401	Detox Service Setting Inpatient Detox	Levels Of Care InpatientDual DiagnosisSober Living
Launch Pad	3150 Malpass Avenue Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Lifeline Treatment Center	5710 Oleander Drive Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+3
New Hanover Metro Treatment Center	1611 Castle Hayne Road Wilmington, NC 28401	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientIntensive Outpatient
Stepping Stone Manor	416 Walnut Street Wilmington, NC 28401	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientDual Diagnosis
Wilmington Treatment Center	2520 Troy Drive Wilmington, NC 28401	Detox Service Setting Hospital DetoxInpatient Detox	Levels Of Care InpatientOutpatientPHP+1
Wilmington VA Clinic	1705 Gardner Road Wilmington, NC 28405	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientAftercare+2
Christian Recovery Houses	5002 Oleander Dr, Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientDual Diagnosis+3
Dr. George John Scontsas, MD	1201 Medical Center Drive Wilmington, NC 28401	Detox Service Setting Outpatient DetoxMAT	Levels Of Care Outpatient
Reflections of Hope LLP – Dr. Luke Sampson MD	33 Darlington Ave Wilmington, NC 28403	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Coastal Horizons Center Brunswick Office	120 Coastal Horizons Drive Shallotte, NC 28470	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientIntensive OutpatientAftercare
Brunswick Health & Rehab Center	9600 Number 5 School Road Northwest Ash, NC 28420	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Jacksonville VA Clinic	4006 Henderson Drive Jacksonville, NC 28546	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientOutpatientAftercare+2

Drug & Alcohol Detox in Wilmington, NC

New Hanover County has historically carried one of the highest overdose death rates in North Carolina, and Wilmington has been a central focus of the state’s response. The city and county have jointly deployed roughly $36 million in national opioid settlement funds through a structured coalition called C.O.M.P.A.S.S. (Collaborative Opioid and Mental Health Planning and Strategy Sessions).

Funded providers include Coastal Horizons, The Healing Place of New Hanover County, LINC and MedNorth Health Center. Coastal Horizons also launched a medication-assisted treatment program at the New Hanover County Detention Center, serving more than 120 people in the first six months of FY 2024-2025.

Wilmington’s publicly funded treatment options are concentrated along Shipyard Boulevard and in the downtown corridor, while private residential programs are primarily clustered near the city’s major medical campuses.

NC Medicaid expanded in December 2023, extending coverage to adults with household incomes up to 138% of the federal poverty level. Anyone previously denied coverage should re-verify their eligibility, since detox and medication-assisted treatment are now covered benefits under the expansion.

Drug and alcohol detox facilities in Wilmington operate under state licensure issued by the North Carolina Division of Health Service Regulation (DHSR), a branch of NCDHHS.

Paying for Detox in Wilmington

The cost of detox in Wilmington depends on the level of medical supervision required, the length of the stay and whether a facility participates with your insurance plan. NC Medicaid’s December 2023 expansion and the area’s opioid settlement investment have both improved access for people without commercial coverage.

How Much Does Detox Cost in Wilmington?

Several factors shape the final cost, including the substance being treated, the severity of physical dependence, the level of medical oversight and the specific facility. Alcohol and benzodiazepine withdrawal typically requires the highest level of supervision and tends to carry the highest daily cost. New Hanover County’s opioid settlement committee used an estimated cost of $10,000 per client for a combined 30-day detox and residential placement when planning publicly funded treatment in FY 2024-2025, providing a local benchmark for combined care. Costs vary by facility and insurance status; always request a written cost estimate and a benefits verification before beginning admission.

$800 to $2,000+ per day (medically managed hospital/inpatient, before insurance)

Medical Detox

$500 to $1,500 per day (residential detox program, before insurance)

Inpatient Rehab

$100 to $500 per day (intensive outpatient); $50 to $150 per standard outpatient visit (before insurance)

Outpatient Rehab

Medicare and Medicaid in Wilmington

Medicaid

NC Medicaid covers medical detox, inpatient treatment, outpatient programs and medication-assisted treatment for eligible adults. The December 2023 expansion extended eligibility to adults ages 19 to 64 earning up to 138% of the federal poverty level.

Several Wilmington providers accept NC Medicaid directly, including Coastal Horizons and A Helping Hand of Wilmington.

Other Ways to Pay for Detox Treatment

TRICARE and Veterans Benefits

Active-duty military personnel, veterans and their dependents can access treatment through TRICARE. Veterans enrolled in VA healthcare may also receive SUD treatment through the VA Community Care Network.

Sliding Scale and Opioid Settlement Funding

Coastal Horizons and several other Wilmington nonprofits use income-based sliding-fee scales. Opioid settlement funds administered through the city-county C.O.M.P.A.S.S. coalition support direct treatment placements for uninsured New Hanover County residents who do not qualify for Medicaid. Residents can call 2-1-1, North Carolina’s statewide social services helpline, to be screened for eligibility.

Wilmington, North Carolina Regulations and Accreditation for Detox

NC Division of Health Service Regulation (DHSR)

Issues and enforces substance abuse treatment facility licenses under NC General Statute Chapter 122C. Any facility offering detoxification, residential treatment or outpatient SUD services must hold an active DHSR license and is subject to routine compliance inspections.

NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS)

Sets clinical standards and certifies providers across the continuum of care, including opioid treatment programs.

NC Drug Control Unit (DCU) and the DEA

Opioid treatment programs that dispense methadone must receive separate approval from both the NC Drug Control Unit and the DEA, in addition to SAMHSA certification.

Key MAT Medications and Regulatory Status in Wilmington

Wilmington has multiple providers offering medication-assisted treatment for opioid use disorder and alcohol use disorder. SAMHSA-certified opioid treatment programs (OTPs) in New Hanover County can provide all FDA-approved medications for opioid use disorder, including the three below.

Buprenorphine

Available at multiple OTPs and office-based buprenorphine providers in New Hanover County. Coastal Horizons and MedNorth Health Center both offer buprenorphine-based treatment, including as part of the county’s jail-based MAT program.

Methadone

Dispensed through SAMHSA-certified OTPs with additional NC Drug Control Unit and DEA authorization. Wilmington has access to OTP-licensed methadone programs; the NCDHHS OTP provider map at ncdhhs.gov lists current dispensing locations.

Naltrexone (Vivitrol)

Available at select outpatient and residential programs as a monthly injectable for people completing opioid or alcohol detox who have already cleared withdrawal.

Overdose Prevention and Harm Reduction in Wilmington

Harm reduction services are widely available in Wilmington through multiple community organizations. North Carolina’s 2015 standing order allows pharmacies and public health organizations to dispense naloxone without a patient-specific prescription. This is especially important because fentanyl is now detected in a wide range of drug supplies across the region, making overdose rescue kits and drug-checking tools a critical safety resource for anyone who uses substances.

NC Harm Reduction Coalition (NCHRC) Wilmington

Syringe services program (fixed site and mobile outreach) Free overdose rescue kits and naloxone distribution Peer support and education Mobile services extending into Brunswick County

NCHRC operates a fixed site at 1308 Dock St in Wilmington, open Monday, Tuesday, Thursday and Friday from 12:30 to 4:30 p.m., with mobile outreach on Wednesdays. The coalition offers peer-led support and can connect people who want more information about treatment options. nchrc.org

Coastal Horizons Center

Rapid HIV, Hepatitis C and Syphilis screening Overdose prevention education Quick Response Team (QRT) for overdose survivors Care management and peer support linkage

Coastal Horizons runs a Quick Response Team in Wilmington that engages overdose survivors and people at elevated overdose risk, connecting them to treatment entry, peer support and ongoing care coordination. Confidential communicable disease screening is available at no cost across New Hanover, Brunswick and Pender counties. coastalhorizons.org

New Hanover County Health and Human Services

Free naloxone (Narcan) distribution at the Public Health Clinic Overdose education Referrals to treatment and recovery services

The county health department at 1650 Greenfield Street in Wilmington distributes free naloxone during public health clinic hours. New Hanover County EMS, fire rescue and law enforcement all carry and administer naloxone during emergency responses under North Carolina’s statewide standing order. nhcgov.com

Detox Statistics in Wilmington, North Carolina

Overdose deaths in New Hanover County have declined substantially since 2023 after years of rising numbers, driven by expanded treatment access, jail-based MAT and coordinated harm reduction efforts. Fentanyl remains the dominant driver of fatal overdoses at both the local and state levels.

75 overdose deaths in New Hanover County (2024)

New Hanover County recorded 75 overdose deaths in 2024, down from 85 in 2023. At the height of the national opioid crisis, the county was tracking toward an estimated 110 annual deaths. Source: Wilmington City Council / NHC Opioid Settlement Committee, WilmingtonBiz, April 2026

120+ people reached by the jail MAT program in six months

Coastal Horizons’ medication-assisted treatment program at the New Hanover County Detention Center served more than 120 people in the first six months of FY 2024-2025, more than double the number served the prior year. Source: New Hanover County Opioid Settlement Committee, WWAYTV3, February 2025

Fewer than 1,500 fentanyl-related deaths in NC (2024)

Fentanyl-related deaths in North Carolina peaked at more than 3,300 in 2022 before falling to fewer than 1,500 in 2024, according to the NC Office of the Chief Medical Examiner. Source: NC Office of the Chief Medical Examiner, via NCDHHS / ABC11, May 2026

FAQs About Detox in Wilmington, NC

Does NC Medicaid cover medical detox in Wilmington?

Yes. NC Medicaid covers medical detox, inpatient treatment, outpatient services and medication-assisted treatment for eligible adults. The December 2023 Medicaid expansion extended eligibility to adults ages 19 to 64 with household incomes up to 138% of the federal poverty level. Several Wilmington facilities accept NC Medicaid directly; verify your eligibility at ncdhhs.gov before calling an admissions line.

What is the difference between inpatient and outpatient detox in Wilmington?

Inpatient detox programs provide round-the-clock medical supervision in a residential setting, which is the appropriate level of care for people withdrawing from alcohol, benzodiazepines or high doses of opioids. Outpatient detox involves scheduled clinic visits with medication management and monitoring, suited to people with milder withdrawal profiles and stable home support systems.

Does Wilmington have opioid treatment programs that dispense methadone?

Yes. New Hanover County has access to SAMHSA-certified opioid treatment programs authorized to dispense methadone. These facilities require approval beyond the standard DHSR license, including DEA registration and NC Drug Control Unit authorization. The NCDHHS OTP provider map at ncdhhs.gov lists current locations and mobile unit schedules statewide.

How do I access publicly funded detox in Wilmington if I am uninsured?

Coastal Horizons serves patients through NC Medicaid and income-based sliding-scale fees, and is one of the more accessible entry points in the area. Opioid settlement funds administered through the city-county C.O.M.P.A.S.S. coalition also support direct treatment placements for uninsured New Hanover County residents. Calling 2-1-1, North Carolina’s social services helpline, connects you to local intake screening at no cost.

Is naloxone available without a prescription in Wilmington?

Yes. North Carolina’s statewide standing order allows pharmacies, public health agencies and harm reduction organizations to dispense naloxone without a patient-specific prescription. Free naloxone is available at the New Hanover County Health and Human Services public health clinic at 1650 Greenfield Street, through the NC Harm Reduction Coalition’s Wilmington office at 1308 Dock St, and through Port City Harm Reduction’s mobile outreach program.

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