Methadone Clinics in Wilmington, North Carolina
3 SAMHSA-certified opioid treatment programs operate inside Wilmington city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
3 verified clinics in Wilmington
Metro Treatment OF North Carolina L
Reflections OF Hope, LLP
Wilmington at a glance
118,578
Residents
51.4 sq mi
Land area
37.5
Median age
$63,900
Median household income
11.6%
Uninsured (civilian)
8.9%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for New Hanover County
New Hanover County reported a model-based drug poisoning death rate of 47.6 per 100,000 residents in 2021 (95% CI 44.6 to 50.7). That sits 67.1% above the national county mean of 28.5 per 100,000.
201931.8
202041.2
202147.6
Three-year change (31.8 to 47.6): +15.7 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Small Metro.
Closest methadone clinic to Wilmington
Nearest verified opioid treatment program in North Carolina: Treatment Centers, LLC in Shallotte, about 31.5 miles (50.8 km) from Wilmington by straight-line distance. Driving time will run longer.
Why this matters for treatment access
New Hanover County ran a 2021 drug poisoning death rate of 47.6 per 100,000, well above the national county mean of 28.5. About 11.6% of residents are uninsured. Most clinics in the area accept Medicaid; confirm before scheduling intake. That works out to roughly 13,755 uninsured residents in Wilmington alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside North Carolina: Treatment Centers, LLC in Shallotte, about 31.5 miles from Wilmington. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Shallotte (2 · 49.3km) Cedar Point (1 · 92.7km) Morehead City (1 · 120.9km) New Bern (2 · 125.1km) Fayetteville (2 · 125.8km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Wilmington prescribe buprenorphine in office settings. See Suboxone providers in Wilmington.
Want a non-opioid alternative? See North Carolina Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the North Carolina methadone hub.