Project VBOT provides licensed, virtual medication-assisted treatment (MAT) for opioid use disorder and alcohol use disorder in North Carolina and Virginia. Care is delivered by licensed clinicians through secure telehealth — no waiting rooms, no commute, and no one has to know.
Medication-assisted treatment (MAT) is an evidence-based approach to treating opioid use disorder (OUD) and alcohol use disorder (AUD) that combines FDA-approved medications with clinical counseling and behavioral support.
Medications used in MAT — such as buprenorphine/naloxone (Suboxone), naltrexone (Vivitrol), or acamprosate — work by reducing cravings, blocking the effects of opioids or alcohol, and stabilizing brain chemistry so individuals can focus on recovery.
MAT is clinically proven effective. The Substance Abuse and Mental Health Services Administration (SAMHSA) and the American Society of Addiction Medicine (ASAM) both recognize MAT as a gold-standard treatment for opioid use disorder.
Learn About Our MAT ServicesVBOT was developed with the North Carolina Medical Society Foundation — established in 1849 and one of the most trusted medical institutions in the state.
Our Clinical Director, David Bolton, LPC, has worked in addiction medicine for more than 40 years.
Whether you're dealing with prescription painkillers, heroin, or fentanyl — medication-assisted treatment with buprenorphine (Suboxone) and clinical support are available to help you stabilize and move forward.
Alcohol dependency is one of the most common and most misunderstood substance use disorders. We provide personalized MAT treatment plans and ongoing clinical support without judgment.
Many people are dealing with more than one substance. Our clinicians are experienced in treating complex cases and will build a plan around your specific situation.
Kratom dependency is real, and often misunderstood by providers who haven't seen it before. Our clinicians have experience with kratom's unique withdrawal patterns and treatment needs.
Project VBOT serves individuals across North Carolina and Virginia who are ready to get help but face real barriers to traditional in-person care — work schedules, family obligations, transportation, distance, or simply not wanting anyone to know.
Call us or complete a short assessment request. No lengthy forms, no commitment — just a conversation about where you are and what you need.
Your first visit happens through secure telehealth — 20 minutes, private, from wherever you're comfortable.
Your clinician builds a treatment plan that fits your schedule, your situation, and your goals — including medication when appropriate.
Regular check-ins, case management, and clinical oversight keep you supported without taking over your life.
What if I'm not ready to tell anyone?
You don't have to. Every visit is through secure, private telehealth. Nothing appears in public records. Your employer, family, and community will not know unless you choose to tell them — treatment records are protected by federal law (42 CFR Part 2) and HIPAA.
What medications does Project VBOT prescribe for opioid use disorder?
Project VBOT prescribes buprenorphine/naloxone (brand name Suboxone) as the primary medication for opioid use disorder. This is an FDA-approved medication that reduces cravings and withdrawal symptoms. Prescriptions are sent to a pharmacy of your choice.
Does VBOT accept Medicaid?
Yes. Project VBOT accepts Medicaid (including NC Medicaid), Medicare, most commercial insurance plans, and Tricare. Self-pay options are also available. Our team verifies your benefits before your first appointment so there are no surprises.
Do I need special technology for virtual visits?
No special equipment is needed. Most visits can be completed using a smartphone, tablet, or computer with a camera and internet connection. Our team will walk you through setup before your first appointment.
Is virtual MAT as effective as in-person treatment?
Yes. Research supports telehealth-delivered MAT as clinically equivalent to in-person care. Project VBOT maintains a 90.9% 30-day patient retention rate — one of the most important indicators of treatment success — and 95% counseling appointment attendance across active patients.
What states does Project VBOT currently serve?
Project VBOT currently serves individuals located anywhere in North Carolina and Virginia. Services are provided through licensed clinicians who hold active licenses in each state. Expansion into additional states occurs as licensing requirements are met.
You don't have to have everything figured out before you call.
Support is available today.