Substance use &amp; recovery

There are many paths to treatment, and many levels of care.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

FindTreatment.gov lists licensed programs and filters by payment type and medication offered.
Use the local directory for adult providers in Orange, Durham, and Wake and confirm intake directly.
Local providers can confirm Alliance, Medicaid, or uninsured funding eligibility for the requested service.
Levels of care: withdrawal management (detox), residential, intensive outpatient, outpatient, and recovery support.
Pregnant people get priority admission to many programs.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Medications for opioid and alcohol use disorder

Medications for opioid use disorder (MOUD) cut overdose deaths a lot. They're treatment, not "trading one drug for another."

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Buprenorphine has several formulations. Ask a qualified clinician or treatment program about prescribing and current telehealth requirements.
Methadone: given at opioid treatment programs (OTPs).
Naltrexone (Vivitrol): a monthly shot that blocks opioids; also used for alcohol.
Alcohol use disorder medications include naltrexone, acamprosate, and disulfiram.
Medicaid covers MOUD in NC.
People on MOUD are protected by the ADA and can't be refused just for being on medication.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Naloxone and overdose response

Naloxone (Narcan) reverses opioid overdoses. In NC, anyone can get it without a prescription.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Get it free through local health departments and harm reduction programs, or over the counter at pharmacies.
Fentanyl test strips are legal in NC.
Mixing opioids with alcohol, benzos, or xylazine raises risk. Naloxone doesn't reverse xylazine, but still give it.

Step by step

Check for signs: won't wake up, slow or no breathing, blue or gray lips, pinpoint pupils.
Call 911.
Give naloxone: one spray in a nostril. Give another after 2–3 minutes if they don't respond.
Do rescue breathing if trained, or put them in the recovery position.
Stay with them. Naloxone can wear off before the opioids do.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Harm reduction and the Good Samaritan law

Meeting people where they are keeps them alive and connected.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

NC syringe services programs offer sterile supplies, naloxone, testing, and connections to care, legally.
NC's Good Samaritan law: someone who calls 911 for an overdose, and the person overdosing, are protected from some drug possession charges. It has limits, so check the details.
Never use alone. Start low and go slow.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Recovery supports

Recovery looks different for everyone. There are many pathways.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Mutual help groups: AA, NA, SMART Recovery, Celebrate Recovery, Refuge Recovery, and others.
Recovery community organizations and centers offer peer support and meetings.
Collegiate recovery programs exist at many NC colleges.
Recovery-friendly workplaces and NC's Recovery-Ready Workplace work.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Stimulants, alcohol, and overdose warning signs

Signs to watch for beyond opioids.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Stimulant overdose: chest pain, overheating, seizures, severe anxiety, or paranoia. Call 911, cool them down, and keep them calm.
Alcohol poisoning: confusion, vomiting, seizures, slow breathing, or can't wake up. Call 911. Don't let them "sleep it off."
Alcohol and benzo withdrawal can be deadly. Medical detox is the safe way.

Official sources

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

Privacy of substance use records (42 CFR Part 2)

Federal rules protect records from substance use programs more strictly than most health records. They usually need written consent to share.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

A 2024 update made Part 2 work more like HIPAA, but records still can't be used against a person in court without a court order or consent.
Peer specialists in Part 2 programs must follow these rules too.

Official sources

HHS: Part 2 fact sheet

Last checked October 2026. Amounts and rules change, so confirm with the official source before sharing.

North Carolina treatment access & referral tools

Find local substance-use care, then confirm openings, payment, and the right level of support directly with the provider.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Start with adult treatment providers inside Orange, Durham, or Wake and confirm the right level of care directly.
FindTreatment.gov offers an anonymous facility search. Use facility listings for medication treatment; the individual buprenorphine-practitioner search was removed in June 2026.
NC DHHS links to an opioid-treatment locator, Connections App, peer support, and other state treatment resources.

Step by step

Ask what the person wants help with and whether there is an immediate safety concern.
Use the local directory or FindTreatment.gov with an Orange, Durham, or Wake location; verify that the facility is physically inside one of the three counties.
Ask the provider about assessment, openings, insurance or uninsured options, costs, transportation, and medication availability.
With permission, help make the first contact and agree on a follow-up.

Common mistakes to avoid

A directory listing does not guarantee an opening, free care, insurance acceptance, or a good fit.

What to say when you call

I'm helping someone find substance-use treatment. Are you accepting new patients? What assessment, payment options, and medication services are available?

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Opioid medications: choosing care with a clinician

Methadone, buprenorphine, and extended-release naltrexone are FDA-approved options for opioid use disorder. A clinician helps choose the appropriate treatment.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Buprenorphine includes transmucosal and extended-release forms.
Treatment is tailored to the person; medication can be part of whole-person care with counseling and other supports.

Step by step

Ask a prescriber or treatment program about the available options and the person's preferences.
Use FindTreatment.gov for facilities offering medication treatment, or SAMHSA's opioid treatment program directory.
Ask the provider about starting treatment, follow-up, payment, and continuity of care.

Common mistakes to avoid

Do not advise starting, stopping, or changing medication as a peer specialist. Medication and telehealth eligibility questions belong with the provider.

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Alcohol withdrawal & NC medically monitored care

Withdrawal can be dangerous. Help the person get a medical assessment rather than planning self-detox or an unsupervised taper.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Some people with alcohol use disorder need medically managed withdrawal before longer-term treatment.
NC operates Alcohol and Drug Abuse Treatment Centers, but those facilities are outside this directory’s three-county in-person scope. This statewide program information is not a local referral listing.
For local withdrawal care, ask a clinician or an in-county treatment provider about a medical assessment, available care, and payment; do not assume a local detox bed is available.

Step by step

Contact a clinician or treatment provider inside Orange, Durham, or Wake promptly to assess the safest level of care.
For severe or rapidly worsening symptoms or immediate danger, call 911 or seek emergency care.
Ask the treatment team about follow-up care after withdrawal management.

Common mistakes to avoid

Do not diagnose withdrawal severity, recommend sleeping it off, or provide a home-detox plan.

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Stimulant-use treatment & behavioral support

Help people seeking care for methamphetamine, cocaine, or other stimulant use find a provider with relevant treatment experience.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

SAMHSA publishes an evidence-based guide to treatment approaches for stimulant use disorders.

Step by step

Use the local directory or FindTreatment.gov to identify an adult provider physically inside Orange, Durham, or Wake.
Ask specifically whether the provider treats stimulant use and which behavioral treatment approaches it offers.
Offer a warm handoff and ask what support would help the person keep the appointment.

Common mistakes to avoid

A treatment resource is not a peer-delivered medical protocol. An acute medical emergency needs emergency care, not a wait for outpatient treatment.

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Fentanyl test strips: limits & safer connections

Test strips are one harm-reduction tool—not proof that a drug is safe.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

Test strips can detect fentanyl in different drug forms, but cannot measure how much is present.
Some fentanyl analogs may not be detected, and some mixtures can affect reliability.
A negative result does not rule out overdose risk.

Step by step

Use CDC's current guidance to discuss test-strip limitations.
Contact a local health department or an NC syringe-services program about supplies and services.
Pair the conversation with naloxone access and overdose-response planning.

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Pregnancy, parenting & substance-use care

Support timely, nonjudgmental prenatal and substance-use care. Medication questions belong with the treating clinician.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

NC DHHS describes treatment from outpatient to long-term residential care; an assessment helps identify an appropriate level.
Methadone or buprenorphine may be part of comprehensive care for pregnant people with opioid use disorder.
CDC says the benefits of prescribed medication treatment for opioid use disorder during pregnancy outweigh the risks.
NC's perinatal substance-use resource explains referrals and priority admission for certain groups in block-grant-supported programs; verify current arrangements with the program.

Step by step

Offer help contacting the prenatal clinician and a substance-use treatment provider.
Ask about pregnancy-capable treatment, parenting supports, and appropriate referrals.
Let providers explain confidentiality, consent, and reporting requirements before the person shares sensitive information.

Common mistakes to avoid

Do not advise stopping prescribed medication without a clinician. Do not promise an opening or a particular reporting outcome.

Official sources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Recovery connections & ongoing follow-up in NC

Help people choose continuing treatment, peer support, and community connections that fit their own recovery goals.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610

Use Wake’s official health-clinic information to identify the needed adult service; the listed phone is for the pharmacy, not general treatment intake.
Ask about the specific service’s appointment, payment, and eligibility rules.
For substance-use care, use an in-county adult provider and confirm intake directly.

Wake Public Health Pharmacy and clinic information

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Key facts

NC DHHS describes recovery-oriented care as an ongoing process supported by a network of treatment and other services.
The NC DHHS substance-use resource page links to peer support and other statewide resources.

Step by step

Ask which kinds of support the person wants and what has helped before.
Use NC DHHS resources to explore local peer and recovery connections, and confirm current options.
Offer help making the first contact, with permission, and agree on the next check-in.

Common mistakes to avoid

Do not present one recovery model or mutual-help group as the only acceptable path.

Official sources

NC DHHS: Substance use disorders and recovery resources

Last checked November 4, 2026. Amounts and rules change, so confirm with the official source before sharing.

Reentry: reconnecting with substance-use care

Plan treatment connections before release when possible, and verify each part of the handoff rather than assuming it is in place.

County next steps

Orange · Durham · Wake · North Carolina · Adults 18+

Orange County

Orange County Public Transportation

Ask about an in-county route or mobility-on-demand trip, pickup area, and accessibility.
Confirm booking requirements, service hours, fare, and return travel.
For Medicaid medical trips, ask Orange DSS about transportation assessment; do not assume a ride is approved.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

GoDurham — Durham Station

515 West Pettigrew Street, Durham, NC 27701

Use the official route information for the origin, destination, and appointment time.
Confirm current schedules, fares, accessibility, and return service.
For Medicaid trips, ask Durham DSS about transportation eligibility and advance arrangements.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

GoRaleigh Station & GoWake Access

GoRaleigh Station: 214 South Blount Street, Raleigh, NC 27601

Use GoRaleigh’s official routes for fixed-route trips; check GoWake Access for eligible assisted trips.
GoWake Access eligibility varies by disability, age, service zone, or sponsorship; confirm before booking.
Confirm fare, pickup arrangements, accessibility, and return travel.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Orange County

Orange County medical clinics

300 West Tryon Street, Hillsborough; or 2501 Homestead Road, Chapel Hill

Ask which clinic offers the adult service needed and whether an appointment is required.
Confirm insurance, uninsured options, charges, hours, and any testing or pharmacy arrangements.
For behavioral-health treatment, use the adult local directory or ask a clinician for an in-county referral.

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Durham County

Durham County Public Health

414 East Main Street, Durham, NC 27701

Use the county’s official public-health information to locate the adult clinic or service needed.
Confirm appointment requirements, testing options, charges, and insurance before traveling.
For substance-use care, use the adult local directory and confirm assessment and medication access with the provider.

Durham Public Health and local services

Official source checked November 4, 2026. Confirm current hours, eligibility, costs, and availability directly.

Wake County

Wake County adult clinic & pharmacy navigation

Public Health Pharmacy: 200 Swinburne Street, #1203, Raleigh, NC 27610