North Carolina Addiction Treatment Center Rankings & Safety Report

zReports Research Institute · Updated September 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.09 Facilities analyzed561 Government sourcesthe state's licensing authority Last updatedSeptember 2026 MethodologyConsumer Z Score™ · Database v2026.09

North Carolina has 561 active licensed treatment centers on the state's public file. zReports analyzed SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS) to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

561active licensed treatment centers across 150 North Carolina cities appear on the state's public file.
61.9%hold an A or B records layer grade.
79.8is the statewide average records layer score across all graded treatment centers.
Lumbertonis the highest-scoring larger city (12 facilities, average score 82.6).
Charlottehas the most licensed treatment centers in the state (39).

Key statistics

StatisticValue
Active licensed treatment centers561
Cities covered150
Statewide average records layer score79.8
Grade A facilities268 (47.8%)
Grade B facilities79 (14.1%)
Grade C facilities214 (38.1%)
Facilities with a clean record (no deficiencies on file)561 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 79.8.

CityFacilitiesAvg scorevs state
Lumberton1282.6+2.8
Asheville2582.1+2.3
Fayetteville1581.8+2
Winston Salem1680.9+1.1
Greenville1379.6-0.2
Raleigh2479.5-0.3
Charlotte3979.2-0.6
Durham2179-0.8
Wilmington1976.6-3.2

By city

Charlotte (39)Asheville (25)Raleigh (24)Greensboro (21)Durham (21)Wilmington (19)Winston Salem (16)Fayetteville (15)Gastonia (15)Greenville (13)Lumberton (12)Statesville (10)Jacksonville (9)Salisbury (9)Hickory (8)Morganton (8)Goldsboro (7)Morehead City (7)High Point (7)Concord (7)Reidsville (7)Wilson (6)Lexington (6)Henderson (6)Shelby (6)North Wilkesboro (5)Ahoskie (5)Asheboro (5)Smithfield (5)Boone (5)Pinehurst (5)Marion (4)Rocky Mount (4)Thomasville (4)Elizabeth City (4)Laurinburg (4)Kinston (4)Shallotte (4)Monroe (4)Mooresville (4)Rockingham (4)Sanford (4)Taylorsville (3)Washington (3)Hendersonville (3)Cary (3)Lenoir (3)Bailey (3)Zebulon (3)Roanoke Rapids (3)Aberdeen (3)Clyde (3)Lincolnton (3)Rocky Point (3)Roxboro (2)Dunn (2)Raeford (2)Nags Head (2)Clayton (2)Dobson (2)Burlington (2)Carrboro (2)Albemarle (2)Weaverville (2)Yadkinville (2)Newland (2)Rutherfordton (2)Erwin (2)Mount Airy (2)Pineville (2)Wake Forest (2)Mill Spring (2)Siler City (2)Waynesville (2)Pembroke (2)Black Mountain (2)Maxton (2)Forest City (2)Chapel Hill (2)New Bern (2)Lillington (2)Clinton (2)Walnut Cove (2)Tarboro (2)Mocksville (2)Brasstown (2)Youngsville (1)Davidson (1)Old Fort (1)Plymouth (1)Hamlet (1)Ellenboro (1)Camp Lejeune (1)Granite Falls (1)Landis (1)Ridgecrest (1)Mills River (1)Williamston (1)Elizabethtown (1)Kenansville (1)Spring Lake (1)Sealevel (1)Red Springs (1)Winston-Salem (1)Ronaoke Rapids (1)Bayboro (1)Fairmont (1)Garner (1)Cherokee (1)Scotland Neck (1)Hillsborough (1)Candler (1)Marshall (1)Arden (1)Pleasant Hill (1)Norlina (1)Benson (1)King (1)Swansboro (1)Pittsboro (1)Richlands (1)Kernersville (1)Jamestown (1)Indian Trail (1)Franklin (1)Kitty Hawk (1)Bakersville (1)Rowland (1)Sparta (1)Dallas (1)Graham (1)Louisburg (1)Troy (1)Connelly Springs (1)Apex (1)Eden (1)Fuquay Varina (1)Creedmoor (1)Elkin (1)Cedar Point (1)Windsor (1)Huntersville (1)Wadesboro (1)Wallace (1)Hampstead (1)Wade (1)West Jefferson (1)Supply (1)Whiteville (1)Jefferson (1)

Statewide top 25

#1 Wilmington Treatment Center Wilmington · A

#2 Salisbury Va Medical Center Salisbury · A

#3 Fellowship Hall INC Greensboro · A

#4 Rha Health Services Lenoir · A

#5 Behavioral Health Hospital Greensboro · A

#6 Jfk Alcohol And Drug Abuse Trt Ctr Black Mountain · A

#7 Cognitive Connection Hickory · A

#8 Morse Clinic Of Durham PC Durham · A

#9 Coastal Horizons INC Shallotte · A

#10 Vance Recovery PC Henderson · A

#11 B And D Integrated Health Services Wake Forest · A

#12 Chatham Recovery PLLC Siler City · A

#13 Morse Clinic Of Dunn Erwin · A

#14 B And D Integrated Health Services Durham · A

#15 Morse Clinic Of Roanoke Rapids Roanoke Rapids · A

#16 Morse Clinic Of Asheboro Asheboro · A

#17 Johnston Recovery Services Clayton · A

#18 Morse Clinic Of Zebulon Zebulon · A

#19 Morse Clinic Of North Raleigh Raleigh · A

#20 Addiction Recovery Medical Services Taylorsville · A

#21 Rocky Mount Treatment Center Rocky Mount · A

#22 Raleigh Comprehensive Treatment Center Raleigh · A

#23 Intentional Longevity Asheville · A

#24 High Point Behavioral Health High Point · A

#25 Brightview Health Salisbury · A

Don't see a name? Search it. Every treatment center has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every treatment center in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About treatment center licensing in North Carolina

Addiction Treatment Centers in North Carolina are overseen by the state's licensing authority, whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS), the government’s own filings, not reviews or advertising.

Frequently asked questions

How many treatment centers are there in North Carolina?

North Carolina has 561 active licensed treatment centers on the state's public file, across 150 cities. Every one has a free records layer grade on zReports.

Which North Carolina city has the most treatment centers?

Charlotte, with 39 licensed treatment centers, followed by Asheville (25) and Raleigh (24).

How are North Carolina treatment center grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, SAMHSA FindTreatment.gov federal locator of state-licensed treatment facilities (BHSIS), through one fixed rule, applied identically to every treatment center in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever North Carolina republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of September 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.09 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: September 2026

Cite this report

APA, zReports Research Institute. (2026). North Carolina Addiction Treatment Center Rankings & Safety Report (v2026.09). zReports.org. https://zreports.org/rankings/addiction/nc

MLA, zReports Research Institute. “North Carolina Addiction Treatment Center Rankings & Safety Report.” zReports.org, v2026.09, September 2026, zreports.org/rankings/addiction/nc.

Plain, North Carolina Addiction Treatment Center Rankings & Safety Report, zReports Research Institute, v2026.09, updated September 2026, zreports.org/rankings/addiction/nc

Related research

Addiction Treatment Centers in all states → Charlotte rankings →Asheville rankings →Raleigh rankings → zReports Data Blog → How the Consumer Z Score™ works →