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Alcohol, Drug, and other Rehab Centers in Black Mountain, NC


The 5 Best Rehab Facilities in Black Mountain

To be sure we are recommending the best facilities, our team of researchers developed five core metrics to determine the quality of each treatment center. These metrics cover key aspects such as cost, treatment approaches, and rehab services provided. For more information, read the full breakdown of our filtering process and ranking methodology.

The 5 best rehab facilities in Black Mountain, NC are: Alcohol, Drug, and other Rehab Centers in Black Mountain, NC Badge

FIRST at Blue Ridge, Inc.

First at Blue Ridge

32 Knox Road, PO Box 40
Ridgecrest, NC 28770

FIRST at Blue Ridge, Inc. is a North Carolina Licensed Peer Led – Peer Driven, 12 Step Based, Modified Therapeutic Community with an Intensive Clinical Overlay. We are a non-profit organization governed by a volunteer Board of Directors and provide residential treatment for substance use disorder for individuals struggling with addiction, homelessness, unemployment, and involvement with the criminal justice system. The center has an 85-bed facility for men and a 65-bed facility for women, as well as several houses for individuals who have completed the program and are transitioning back into a home environment. While the treatment is designed to be long term, short-term intensive treatment options are available that range from 14 to 90 days in duration. FIRST clients participate in group therapy sessions along with case management and employment placement assistance. The center also offers a 24-month program specifically for veterans. In this program, clients live on the FIRST campus and receive services while maintaining outside employment.

What patients are saying:

Many former clients who were dependent on drugs or alcohol credit FIRST at Blue Ridge for their success in overcoming addiction. One reviewer writes, “Going to FIRST at Blue Ridge was the smartest decision of my life. It gave me the opportunity to change my life. I am forever grateful for the staff and fellow addicts who helped me on my journey of recovery.”


  • 3.69 stars
  • 83 reviews

Mountain Treatment Center

mountain treatment center

370 N. Louisiana Avenue, Suite G2
Asheville, NC 28806

Mountain Treatment Center has been providing support and guidance for individuals with alcohol, drug, and gambling addictions since 1983. Patients who are receiving treatment in the center’s alcohol and drug abuse treatment program participate in group therapy, substance abuse education, and life science training. Patients with gambling addictions take part in special programming that helps them recognize the root and severity of their gambling problem and how this disorder affects their life. Counseling is also available for individuals and family members who have been affected by their loved one’s addiction. The center also provides services as a Substance Abuse Professional for clients who are required to have substance abuse evaluations for infractions by the Department of Transportation.

What patients are saying:

One reviewer states, “Great place, and Glenda is the best, if you need help, this is the place, love them all.” Another client seconds that opinion, “Great place. If I’m required to be somewhere, I’d go here again.”


  • 3.41 stars
  • 8 reviews

Holly Hill Hospital

holly hill

3019 Falstaff Road
Raleigh, NC 27610

Holly Hill Hospital is a 28-bed facility that provides short-term acute crisis stabilization for individuals in the early stages of recovering from substance abuse. It has a dynamic treatment team comprised of a psychiatrist, registered nurses, mental health technicians, a recreation therapist, and a social worker to provide personalized programming for each resident. Within the first 24 hours, a new client is given a nursing assessment and a physical, along with a psychiatric evaluation. Daily treatments include a doctor visit and group and recreational therapy. While the length of treatment is highly dependent on the individual, the average length of stay at this facility is about 10 days.

What patients are saying:

Many former clients at Holly Hill Hospital speak highly of their experience with the facility, particularly of the friendliness of the staff. One reviewer writes, “The staff was great. They made you feel at home and did the best they could to make your stay comfortable.” Another client comments, “Great staff and delicious food. I was there for a week, and I feel back in control of my own destiny.”


  • 2.27 stars
  • 348 reviews

Johnston Counseling Services


212 Bridge Street
Smithfield, NC 27577

Johnston Counseling Services provides an array of group and individual substance abuse and DWI services, including diagnostic assessments, short-term outpatient treatment, DWI assessments and treatment, Alcohol Drugs Education Traffic School, and DOT evaluations. Its staff is dedicated to providing honest clinical recommendations and individualized treatment for each client with the goal of helping clients overcome their addictions as quickly as possible. For clients’ convenience, appointments are offered during evenings and on Saturdays.

What patients are saying:

No written patient reviews are available at this time.


  • 5 stars
  • 1 review

Wilmington Treatment Center


2520 Troy Drive
Wilmington, NC 28401

Wilmington Treatment Center provides a residential rehab treatment program for men and women living with substance and alcohol addictions, as well as an intensive outpatient program for individuals who have completed the residential program or don’t require 24-hour supervision. For many clients, treatment at this center begins with the drug and alcohol detox program, which typically lasts between five and 18 days. Following detox, clients enter into the inpatient treatment program for addiction and co-occurring disorders, which includes individual, group, and family therapy, recreational therapy, and medication management, as needed. The center also provides special programming specifically for veterans.

What patients are saying:

Many former clients of Wilmington Treatment Center express satisfaction at the care they received during their time in the program. One reviewer remarks, “They gave me a lot of coping tools I’ve used and continue to use in my sobriety.” Another client notes, “Wilmington treatment center saved my life. I feel great these days, and I sincerely owe it to the staff and the friends I’ve made throughout my way.”


  • 3.58 stars
  • 247 reviews


According to the Substance Abuse and Mental Health Administration (SAMHSA), there are 34 substance abuse treatment centers in the Black Mountain area. To determine which provide the highest quality of treatment and the most resources for recovery, we used the following five core metrics to evaluate each facility.

the five core metrics for Rehab evaluation

For more information, feel free to read a full breakdown of our filtering process and ranking methodology.

Getting Help in Black Mountain

Start by determining your coverage

To determine your best options for a rehabilitation center, it is important to first learn about your health insurance coverage. Reach out to your private or healthcare marketplace insurance provider to find out which substance abuse treatment centers are available to you. Regardless of the type of coverage you have, both public and private insurance companies must cover substance abuse treatment for qualified individuals.

To learn more about addiction and the rehabilitation process in your state, read our guide to rehab in North Carolina.

Use our database to find a treatment center near you

The tool below lists all of the treatment centers in the state of North Carolina recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA). Enter your zip code and select the filter icon to find relevant treatment centers near you.

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    Black Mountain Rehab FAQs

    Do I need to go to rehab?

    Substance abuse and addiction have high costs, often adversely affecting work performance, personal relationships, and your physical health. To help you determine if you may be addicted, the U.S. Department of Veterans Affairs has an Alcohol Use Screening and a Substance Abuse Screening to help you find out.

    How long does rehab last?

    Different programs and levels of addiction require different program lengths. Common rehab lengths are:

    How much does drug rehab cost?

    Pricing depends on the program, services, and amenities offered. Typically, outpatient programs are cheaper than inpatient, and live-in inpatient facilities are the most expensive. To learn more, read our guide on The Cost of Rehab.

    How does rehab work?

    Rehab is made up of four basic steps:

    • Assessment
    • Detox
    • Therapy
    • Aftercare

    To learn more about the rehab process and each step, read our guide to The Addiction Rehabilitation Process.

    How important is aftercare? 

    One of the most important steps in the rehabilitation process is aftercare – the continuing support and accountability offered through counseling and 12-Step programs such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).

    To find an AA or NA meeting near you, use the directory below.

    Name City Program Telephone Spanish Hotline

    For more FAQs visit our rehab FAQ page.