NC · Buncombe County

Virtual Opioid Treatment
in Buncombe County

Project VBOT delivers licensed, evidence-based medication-assisted treatment directly to residents of Buncombe County — no travel, no waiting rooms, no barriers.

The Need in Buncombe County

By the Numbers

The county's overdose rate of 57.8 per 100,000 residents reflects a crisis that demands accessible, effective treatment options — not just statistics. There are 28 in-person providers listed in Buncombe County — but for many residents, geography, scheduling, or privacy make in-person treatment difficult or impossible to maintain.

278,012
Residents of Buncombe County
57.8/100K
Annual overdose rate per 100,000 residents
$4,440,162.17
Opioid settlement funds allocated to Buncombe County ('24–'25)
90.9%
30-day retention rate — highest-risk dropout window in MAT
What's Included

Services Available in Buncombe County

Everything needed for structured, clinician-led recovery — delivered entirely through secure telehealth, directly to Buncombe County residents.

MOUD Prescriptions

Our addiction-specialized providers prescribe the appropriate FDA-approved medication for your needs and insurance — Suboxone, Sublocade, Vivitrol, or Buprenorphine/Naloxone.

Counseling — Combined with Your Visit

Therapy is built into every telehealth visit alongside your prescription — so you get both in a single appointment. No separate trips, no scheduling two providers.

Case Management & Peer Support

Beyond your regular visits, our team stays connected to your recovery and helps with the broader life circumstances that affect it — housing, employment, family, and more.

At-Home Urine Drug Screening

Collect and mail your sample from home using our kit — no lab visits required. Results are reviewed by your clinical team and factored into your ongoing care plan.

Why VBOT for Buncombe County

Treatment Without the Barriers

Accessing consistent treatment in Buncombe County means dealing with distance, scheduling, and the very real concern of being seen at a clinic in a community where everyone knows each other. VBOT was built to remove all of that.

  • No travel — treatment from home, work, or anywhere
  • No waiting rooms — completely private telehealth
  • Counseling and prescribing combined in one visit
  • Maintenance visits just twice per month
  • Accepts Medicaid, Medicare, and most commercial plans
  • Hardship grants available for those who qualify
Get Started in Buncombe County

A confidential assessment is the first step — no pressure, no commitment required. Our team will listen to your situation and help you understand your options.

Request a Confidential Assessment Call (838) 438-8268
Local Resources

Other Treatment Providers in Buncombe County

We believe in making it easy to find care — whatever form that takes. The providers below offer in-person and telehealth services in or near Buncombe County. If virtual-first care from home fits your situation better, we're here.

FIRST at Blue Ridge Inc

32 Knox Road, Ridgecrest, NC, 28770
Halfway House Residential
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay
Populations: Pregnant Women, Women, Men

JFK Alcohol and Drug Abuse Trt Ctr

201 Tabernacle Road, Black Mountain, NC, 28711
Detox Inpatient
OTP Methadone Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women, Women, Men

Swain Recovery Center Insight Human Services Inc

932 Old U.S. Highway 70, 2nd Floor, Moore II, Black Mountain, NC, 28711
Residential
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay
Populations: Women

Recovery Ventures Corporation

2706 U.S. Highway 70, Swannanoa, NC, 28778
Halfway House Residential
Insurance Accepted:
Insurance: Populations Served: Men
Populations: Men

Insight Human Services Womens Recovery Center

723 Fairview Road, Asheville, NC, 28803
Telehealth Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid
Populations: Pregnant Women, Women

Insight Recovery Center

2123 Hendersonville Road, Arden, NC, 28704
Detox Halfway House Inpatient Residential Outpatient
Naltrexone Vivitrol
Insurance: Self Pay, Commercial
Populations: Women, Men

Crossroads Treatment Centers Asheville

6 Roberts Road, Suite 103, Asheville, NC, 28803
Detox Telehealth Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women

October Road Inc

119 Tunnel Road, Suite D, Asheville, NC, 28805
Telehealth Outpatient
OTP Methadone Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid, Medicare, Commercial
Populations: Men

Tapestry Asheville Appalachian Outpatient Services LLC

119 Tunnel Road, Suite G, Asheville, NC, 28805
Telehealth Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid, Commercial, Tricare
Populations: Women

MAHEC Center for Psychiatry and Mental Wellness

125 Hendersonville Road, Asheville, NC, 28803
Telehealth Outpatient
Buprenorphine Naltrexone
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare

Oasis Recovery Center

191 Charlotte Street, Asheville, NC, 28801
Outpatient
Buprenorphine Naltrexone
Insurance: Self Pay, Commercial

Mission Hospital Copestone

428 Biltmore Avenue, Asheville, NC, 28801
Inpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women, Women, Men

RHA Health Services

356 Biltmore Avenue, Suite 200, Asheville, NC, 28801
Detox Telehealth Residential Outpatient
Buprenorphine Naltrexone
Insurance: Self Pay, Medicaid, Medicare, Commercial
Populations: Pregnant Women, Women, Men

Neil Dobbins Center

356 Biltmore Avenue, Suite 150, Asheville, NC, 28801
Detox Telehealth Inpatient Residential
Buprenorphine
Insurance: Medicaid, Medicare

Start Fresh Treatment Center

417 Biltmore Avenue, Asheville, NC, 28801
Telehealth Outpatient
Buprenorphine Vivitrol
Insurance: Self Pay

Western Carolina Treatment Center

3 Doctors Park, Suite G, Asheville, NC, 28801
Telehealth Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare

Daymark Recovery Services Caiyalynn Burrell Child Crisis Center

277 Biltmore Avenue, Asheville, NC, 28801
Detox Telehealth Inpatient Residential
Buprenorphine Naltrexone
Insurance: Self Pay, Medicaid

Asheville Comprehensive Treatment Ctr ATS of North Carolina LLC

2 McDowell Street, Asheville, NC, 28801
Telehealth Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women

Crest View Recovery Center

90 Asheland Avenue, Suites A and C, Asheville, NC, 28801
Telehealth Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Commercial
Populations: Women, Men

Crest View Recovery Center

90 Asheland Avenue, Suites B and D, Asheville, NC, 28801
Telehealth Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Commercial
Populations: Women, Men

Crossroads Treatment Centers Weaverville

901 Old Mars Hill Highway, Suite 3, Weaverville, NC, 28787
Detox Telehealth Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women

Carolina Recovery Solutions

901 Old Mars Hill Highway, Suite 5, Weaverville, NC, 28787
Detox Halfway House Telehealth Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Commercial
Populations: Women, Men

Asheville Recovery Center

9 Old Burnsville Hill Road, Suite 4, Asheville, NC, 28804
Outpatient
Naltrexone Vivitrol
Insurance: Self Pay, Commercial
Populations: Women, Men

Mayrx LLC

302 Stoneridge Boulevard, Asheville, NC, 28804
Outpatient
Buprenorphine Naltrexone
Insurance: Self Pay

Intentional Longevity DBA Katharos Sanctuary

370 North Louisiana Avenue, Suites D-3 and D-6, Asheville, NC, 28806
Detox Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare
Populations: Pregnant Women

BHG Asheville Treatment Center BHG XXXVI LLC

18 Wedgefield Drive, Asheville, NC, 28806
Telehealth Outpatient
OTP Methadone Buprenorphine
Insurance: Self Pay, Medicaid, Medicare, Commercial, Tricare
Populations: Pregnant Women, Women, Men

Real Recovery by Pyramid Healthcare

119 Tunnel Road, Suite F, Asheville, NC, 28805
Outpatient
Buprenorphine Naltrexone Vivitrol
Insurance: Self Pay, Commercial, Tricare
Populations: Men

Red Oak Recovery Red Oak

631 Willow Creek Road, Leicester, NC, 28748
Telehealth Outpatient
Buprenorphine Naltrexone
Insurance: Self Pay, Commercial, Tricare
Populations: Men
Service Area

Communities We Serve in Buncombe County

Project VBOT serves all residents of Buncombe County, including those in Asheville, Hendersonville, Black Mountain, Fletcher, Woodfin, and surrounding communities.

Get Started Today

The Hardest Part Is Starting.
We've Made That Part Easy.

You don't have to have everything figured out before you call.

Confidential. Judgment-free. On your schedule.

Support is available today.

Project VBOT provides virtual substance use treatment services through licensed clinicians using secure telehealth platforms. Services are provided only to individuals located in states where Project VBOT and its clinicians are authorized to practice. This site is not intended for emergency use — if you or someone else is in immediate danger, call 911. For mental health or substance-related crisis support, contact the 988 Suicide & Crisis Lifeline by calling or texting 988.