Substance Use

North Carolina Substance Abuse Hotlines

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Addiction hotlines can be accessed from anywhere and at any time of day, making them a convenient resource for individuals seeking help for drug or alcohol substance abuse in North Carolina (NC).

What Are the Addiction Hotlines and Helplines for North Carolina?

Below is a list of three free 24/7 helplines for this wanting help in North Carolina for a substance abuse disorder.

Organization NameTelephone NumberText Number
Alcohol/Drug Council of North Carolina(800) 688-4232None
Hope4NC(855) 587-3463None
Zinnia Health(855) 430-9439None

These telephone numbers listed are free of charge to call for residents from North Carolina, the Tar Heel State, to call.

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List of Free North Carolina Addiction Helplines

Alcohol/Drug Council of North Carolina

The Alcohol/Drug Council of North Carolina is a non-profit organization that provides education, prevention, and treatment services for substance use disorder. Their mission is to reduce the impact of substance use disorder on individuals, families, and communities in North Carolina.

Through their programs, they aim to promote awareness about the risks associated with substance use and provide support to those experiencing addiction.


Hope4NC is a disaster crisis helpline that provides 24/7 support for individuals and families affected by natural disasters and COVID-19 in North Carolina.

The helpline offers emotional support, crisis counseling, and referral services for substance use disorder and other behavioral health issues, helping individuals access the resources and services they need to navigate difficult times.

Hope4NC is a valuable resource for those struggling with substance use disorder, providing a lifeline for those in need of support and guidance.

Zinnia Health

Zinnia Health offers a free 24/7 helpline so you can speak to a qualified support agent who understand the issues with drug and alcohol addiction.

Zinnia Health is a service that offers drug and alcohol rehab centers nationwide. We can help you find the nearest substance abuse treatment program near to you in NC.

Zinnia Health has helped thousands of people across the country recover from drug, alcohol, and mental health disorders.

How Bad is Substance Use Disorder in North Carolina?

We shared the following 2020 alcohol-related death stats:

  • 1,392 deaths (up 100.3% from 2000)
  • 13.1 deaths per 100,000 people (up 52.3% from 2000)
  • 2020 state population: 10,600,823 (up 31.7% from 2000)

In 2020, there were 3,304 drug overdose deaths in North Carolina, which is a 40% increase from the previous year.

In 2019, for every 1 drug overdose death, there were 8 emergency department visits related to drug overdoses in North Carolina.

In 2018, an estimated 79% of drug overdose deaths in North Carolina involved opioids.

From 2000 to 2020, more than 28,000 North Carolinians lost their lives to drug overdoses. Alcohol abuse in North Carolina has been on the rise since 2012 and is the third leading cause of preventable deaths statewide.

In 2018, an annual average of 211,000 persons aged 12 or older used an illicit drug in the past year in the Raleigh-Durham-Cary CSA, which represents 12.5 percent of the population.

In North Carolina, deaths from drug overdoses rose nearly 40 percent between April 2020 and April 2021.

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