For the latest information on coronavirus, or COVID-19, including service and program impacts in Chatham County, please visit the coronavirus webpage.

Substance Use

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 COVID-19 Update

Things may have changed during these past few months but help and support is still available. Many of the local providers listed below are now offering Telehealth therapy and counseling appointments that can be done through your phone or video-based services. Several new free resources have been recently created to address mental health and substance use across North Carolina and the country during COVID-19. Please take care of yourself, loved ones, coworkers, and neighbors during this challenging times. The Emotional Wellbeing Checklist During Coronavirus is a good place to start along with the following substance use disorder and recovery resources:

  • SAMHSA’s National Helpline 1-800-662-HELP (4357) is a free, confidential, 24/7 treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.
  • Click here for a compiled list of national virtual recovery resources for people in recovery.
  • Know that you are not alone: National Suicide Prevention Lifeline Call 1-800-273-TALK/1-888-628-9454 (Ayuda en Espanol). Crisis Text Line: Text TALK to 741741 for free 24/7 crisis support through text messaging.

The Road to Recovery: Substance Use Resources

If you or someone you know has a problem with substances such as alcohol, prescription drugs, and/or other drugs, there are many national, state, and local resources available to help. If you think your drug and alcohol use has gotten out of control, or if you have tried to quit and have not been able to, you are not alone and there are resources available to help listed below.

How do I know if I or a loved one has an alcohol or drug problem?


If you are experiencing a crisis, or need information, an assessment or referral, call the 24-hour, toll-free Access/Crisis line at Cardinal Innovations Healthcare at (800) 939-5911.  For deaf or hard of hearing, dial 711 for
NC Relay.

For more resources on local mental health providers in Chatham County, please visit

Para información en español sobre recursos locales de abuso de sustancias, por favor haga clic aquí.

Providers listed below serve all Chatham County residents unless otherwise stated. If you are experiencing a life-threatening emergency or crisis, call 911 immediately.


VERIFY LISTINGS BELOW:  To verify the information provided in this list, please contact Cardinal Innovations Healthcare toll-free at (800) 939-5911

Chatham County Service Providers

Daymark Recovery Services

Siler City Office
1105 E Cardinal Street
Siler City, NC 27344

P (919) 663-2955


Hours: Monday-Friday 8am-5pm

Please Call To Discuss Any Questions Or Concerns. 24-Hour, Toll-Free Access Call Center
(800) 939-5911


Substance abuse services include:

-Comprehensive Clinical Assessments

Walk-ins available anytime between 8:00am-3:30pm to complete the paperwork and get clinic assessment.

-Outpatient group therapy
-Substance abuse intensive outpatient 
-Interpreters available for Spanish-
  speaking clients.

Accepts most major private insurance, Medicaid, and Medicare. Sliding scale fees available for individuals without any insurance. Fees may be as low as zero.

Clients meet with trained staff to review fees required prior to first appointment.

Freedom House Recovery Center

Chatham Counseling Center
288 East Street, Suite 1004
Pittsboro, NC 27312

P (919) 542-4422

Chapel Hill Office
104 New Stateside Drive
Chapel Hill, NC 27516

P (919) 942-2803

Substance abuse services for children, adolescents, and adults include:

  • Comprehensive clinical assessment
  • Individual, family, and group therapy
  • Peer support and peer group therapy
  • Comprehensive outpatient treatment appointments
  • Substance Abuse Intensive Outpatient Program
  • Psychiatric evaluation and medication management
  • Support services for children and adolescents with a parent struggling with mental illness or substance abuse
  • Parenting workshops and trainings

Chatham Recovery

1758 E. 11th Street, Suite E
Siler City, NC 27344

P (919) 663-3303

Chatham Recovery is an opioid treatment program that provides medication assisted therapy and counseling to help people overcome addiction to heroin and opiates. Services for individuals over the age of 18 include opioid treatment, substance abuse counseling, and psychiatric services.

  • Methadone Treatment
  • Buprenorphine Treatment
  • Substance Abuse Counseling
  • Medication Management
  • Individual and group counseling
  • Urine drug screens
  • Referral Services

Medicaid (Cardinal and Sandhills) accepted. Self-pay also accepted.

Currently providing Telehealth therapy for clinical and medical appointments. Still open and operating normal business hours (weekday 6-11am, weekends 7-9am) for medication management.

El Futuro, Inc.

401 N Ivey Avenue
Siler City, NC 27344

P (919) 688-7101 ext. 600
F (919) 688-7102

Serves Spanish speakers

Bilingual mental health and substance abuse services are available on Mondays and Thursdays 10:00am-6:00pm and Wednesdays 10:00am-5:00pm in the Siler City office (with lunch hour 12:00pm-1:00pm). Services also available in Durham. Hours vary by location. Services provided include:

  • Mental Health Evaluations
  • Individual, Family and Group Therapy
  • Psychiatric Treatment
  • Substance Abuse Evaluation and Treatment
  • Trauma Treatment (all ages)

Medicaid, Health Choice, and Medicare accepted. Uninsured patients accepted (based on county of residence). For further questions surrounding payment, clients are encouraged to call the clinic.

Offices are temporarily closed but still providing Telehealth therapy. Appointments now available by video or TeleFuturo (using your cell phone, tablet or computer) or by phone call. Currently accepting new patients and referrals for therapy, psychiatry, substance use treatment, and DWI services.

Renaissance Wellness Services, LLC

288 East Street Suite 1001-F7
Pittsboro, NC 27312

P (919) 259-5308

Substance Abuse Services include:

  • Comprehensive outpatient treatment appointments
  • Adolescent Substance Abuse Intensive Outpatient Program
  • Adult Substance Abuse Intensive Outpatient Program
  • Substance Abuse Comprehensive Outpatient Therapy

Bilingual therapists are available for Spanish speaking clients.

Medicaid and private insurance accepted (BCBS, Cigna, Aetna, and United). Uninsured patients accepted. A sliding-scale fee based on household income is available. Clients may meet with trained staff to determine service fees prior to their first appointment.

Currently providing Telehealth therapy, as well as in-office or in-home if it is deemed necessary and essential for the client

New Beginnings Counseling Services, PLLC

Pittsboro Office
288 East St., Suite 1007
Pittsboro, NC 27312

P (919) 542-0047

Siler City Office
1756-A 11th St.
Siler City, NC 27344

P (919) 663-3332

Please call the Sanford office at 919-718-1597 to schedule an appointment at either location.

Substance abuse services for children, adolescents, and adults include:

  • Comprehensive diagnostic assessment
  • Individual, family, and group therapy
  • Substance Abuse Counseling, including individual and group therapy
  • Substance Abuse Intensive Outpatient Program
  • Substance Abuse Intensive Outpatient Program

Most major private insurance, Medicaid, and Medicare are accepted. Sliding-scale fees based on household income is available for individuals without insurance.

UNC Horizons

Department of Obstetrics and Gynecology at UNC-Chapel Hill

P (800) 862-4050

UNC Horizons Program is a substance use disorder treatment program for pregnant and/or parenting women and their children, including those whose lives have been touched by abuse and violence. Services include:

  • Pregnancy and post-delivery care
  • Infant and children care services
  • Case management
  • Peer support
  • Individual and/or group counseling
  • Family counseling
  • Residential treatment programs
  • Outpatient treatment appointments
  • Substance Abuse Intensive Outpatient Program
  • Psychiatric evaluation and medication management (includes Suboxone)

Naloxone Saves

Locate local Public Health Departments and pharmacies that dispense naloxone (the opioid overdose reversal drug).

Needle Exchange Programs

Locate needle exchange programs throughout the state. Nearest programs are in Orange County, Winston-Salem, Durham, and Raleigh.


Local Support Groups

Additional Resources

National Resources

Click here (English) (Spanish) for more information on protecting your child from opioid misuse.

Unused Prescription Pill Disposal Locations

Pittsboro Police Department:  635 East Street, Pittsboro, NC Monday-Friday 8am-5pm

Siler City Police Department: 312 North Chatham Avenue, Siler City, NC Open 24/7

Chatham County Detention Facility: 627 Renaissance Drive, Pittsboro, NC 27312

Siler City Pharmacy: 202 E Raleigh Street, Siler City, NC 27344

Check out for additional take back events.

Most locations still accepting unused medications during COVID-19. Please call ahead first to confirm. 

Laws and Protections

Good Samaritan Law: Prevents a person seeking medical assistance for a drug overdose victim from being prosecuted for underage drinking or possession of a small amount of drugs or paraphernalia. The law affords the individual who overdosed the same immunity. For more information on the Good Samaritan Law, please visit

Naloxone Access Law: Allows physicians to prescribe Naloxone (opioid overdose reversal drug) to people at risk of an opioid overdose, or to a friend or family members of a person at risk for an overdose. Pharmacists are also allowed to to dispense Naloxone without a prescription . Please visit to locate pharmacies that dispense Naloxone.

Needle and Syringe Law: Legalizes the establishment of needle exchange programs in North Carolina and offered limited immunity to people associated with needle exchange programs. The nearest needle exchange programs are located at the Orange County Health Department in Hillsborough and Chapel Hill and the NC Harm Reduction Coalition in Durham and Wake Counties. Click for a complete list of needle exchange programs in North Carolina

For more information on quitting tobacco, please visit