Drug and Alcohol Rehab Centers in Plymouth, NC
Addiction treatment providers across Plymouth are gathered on this page, including nearby communities such as Roper, Jamesville, Windsor, Cape Colony, and Edenton. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors, and therapists serving the area.
Listings for Plymouth below, including facilities serving Pinetown, Williamston, and Pantego, are reviewed against bodies such as the NC Division of Health Service Regulation (DHSR), SAMHSA, The Joint Commission, and CARF International. Browse the full set below.

1 Drug and Alcohol Rehab Treatment Centers in Plymouth, NC
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Drug and Alcohol Rehabs in Plymouth, NC
Plymouth is the seat of Washington County, on the Roanoke River near where it opens into Albemarle Sound in the far northeast of the state.
The town was a river port and later a paper mill town, with the mill on the edge of Plymouth having been the county’s dominant employer for generations.
The Battle of Plymouth in 1864 was one of the few Confederate successes in coastal North Carolina, and the ironclad CSS Albemarle was built upriver for it.
Washington County holds fewer than 11,000 residents and is among the lowest-income counties in North Carolina.
The county’s most recent provisional overdose figure is reported as zero, and earlier counts are suppressed under small-count disclosure rules, which together reflect a very small population rather than an absence of the problem.
Local provision is minimal. One facility sits within twelve miles of Plymouth, offering outpatient care, partial hospitalization and dual diagnosis work.
Having SACOT-level care in a county this small is genuinely unusual, though no detox or medication-assisted treatment appears locally.
Trillium Health Resources is the Tailored Plan for Washington County and is the organization that arranges placement when an intensive level is needed.
Which Level of Care Do You Need
The figures below use a twelve-mile catchment with wider numbers where they change the picture, covering Plymouth, Roper, Creswell and the surrounding Washington County communities.
Medically Supervised Detox
The first stage for anyone physically dependent is detox, where withdrawal is managed under medical observation across roughly three to ten days depending on the substance. Around one facility within thirty miles of Plymouth indicates detox provision, though none sits within twelve. A lone provider serving this area makes availability the first question to put. Alcohol withdrawal is most dangerous in the opening days, so overnight medical staffing is worth confirming before admission.
Inpatient Residential Treatment
In residential care someone moves in for the duration, typically thirty, sixty or ninety days, with clinical sessions and daily living handled in the same place. Nothing within twelve miles indicates residential provision, and around two do within thirty. Williamston and the Greenville corridor hold the nearest options, and admissions teams arrange placements outside their own county every week.
Outpatient, IOP and PHP Treatment
The state uses its own names at this level. Intensive outpatient is SAIOP, at American Society of Addiction Medicine level 2.1, and partial hospitalization is SACOT, at level 2.5. One provider operates within twelve miles of Plymouth, offering outpatient care and partial hospitalization, rising to four and one across thirty miles with one offering intensive outpatient. Having SACOT-level care available in a county this small is the strongest part of the local picture.
Dual Diagnosis and Co-Occurring Disorders Treatment
When a substance use disorder and a mental health condition occur together, integrated treatment tackles them simultaneously rather than queueing one behind the other. Around one provider within twelve miles of Plymouth indicates this work, rising to about three within thirty. That local presence means an assessment can happen without leaving the county even where the treatment that follows will not.
Sober Living Homes and Transitional Living
Recovery residences provide substance-free housing once formal treatment ends, and this directory does not list them separately. Oxford House has one of its largest networks in North Carolina, and the state affiliate of the National Alliance for Recovery Residences sets standards. Certification is a choice rather than a requirement, so treat it as something to check. Housing costs in Washington County are among the lowest in the state, though supply of any kind is limited in a county this small.
Addiction Treatment Cost and Insurance Coverage in Plymouth, NC
Washington is a small, low-income county with no private treatment market, so the publicly funded route carries everything.
How Much Does Addiction Rehab Cost?
Partial hospitalization in Plymouth runs roughly $7,500 to $14,000 a month and is available locally, which is rare in a county this size. Standard outpatient costs $1,300 to $5,200 a month. Residential treatment at $6,500 to $27,000 a month and medical detox at $1,600 to $5,200 a week both mean traveling.
Because the local strength is at the partial hospitalization level, it is worth asking whether that intensity would meet the clinical need before assuming a residential placement is required. Trillium assesses on income for anyone uninsured.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,600 – $5,200 per week | $230 – $740 |
| Residential inpatient | $6,500 – $27,000 | $215 – $900 |
| PHP | $7,500 – $14,000 | $250 – $470 |
| IOP | $2,800 – $9,500 | $95 – $320 |
| Outpatient | $1,300 – $5,200 | $45 – $175 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $18,000 – $52,000+ | $600 – $1,730 |
| PHP | $14,500 – $33,000 | $485 – $1,100 |
| IOP | $10,000 – $25,000 | $335 – $835 |
| Outpatient | $5,200 – $16,000 | $175 – $535 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Medicaid is the most widely accepted coverage across programs listed here.
Approval is a separate hurdle from coverage. Detox and residential admissions almost always need prior authorization, and your share of the cost normally turns on network status. Because medication-assisted treatment is not available locally, ask specifically about buprenorphine from a prescriber rather than assuming a clinic visit is required, since any DEA-registered provider can now prescribe it.
Free and State-Funded Addiction Rehab in Plymouth, NC
Trillium Health Resources is the Tailored Plan for Washington County and 45 others across central and eastern North Carolina. It administers Medicaid behavioral health and the state-funded mental health and substance use services for uninsured and underinsured residents, which makes it the route to free treatment whether or not you hold Medicaid. Its access line runs 24 hours a day on 1-877-685-2415.
The state licenses facilities through the Mental Health Licensure and Certification Section and endorses services through its behavioral health division, so a legitimate program will hold both. General Statute 122C-28 makes unlicensed operation a Class H felony.
More Help and Recovery Support
Washington Regional Medical Center in Plymouth serves the county, with ECU Health Medical Center in Greenville around an hour southwest acting as the Level I trauma center for eastern North Carolina.
Alcoholics Anonymous meets in Plymouth and the surrounding towns, and in a county this small those meetings are frequently the only support within a short drive. Narcotics Anonymous operates in the wider eastern area. Nearby Williamston, Ahoskie and Washington carry further listings, with more across North Carolina.
North Carolina joined Medicaid expansion in December 2023. Anyone whose last eligibility check predates that should treat the old answer as out of date.
Something is about to change that older guidance will not mention. From 1 October 2026 there will be three Tailored Plans rather than four, as Partners Health Management and Vaya Health combine into Vaya Partners. Trillium is unaffected, so Washington County members see no change.
Free and confidential, available now
Trillium Health Resources access line — 1-877-685-2415, 24 hours a day, whether or not you have Medicaid 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, Washington County, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- NC Medicaid — Behavioral Health and I/DD Tailored Plans, county assignment and Trillium Health Resources.
- NC Division of Health Service Regulation, Mental Health Licensure and Certification Section — facility licensure and General Statute 122C-28.
- Rehab Seekers directory listings, Plymouth and Washington County, August 2026, and market rate research, North Carolina, 2026. Ranges are indicative and vary by facility, length of stay and coverage.