A Caring Alternative
1550 Hendersonville Road, Asheville, NC 28803
Start Fresh Treatment Center
Address: 417 Biltmore Avenue, Asheville, NC 28801 · Map
Phone: (910) 755-7180
Services reported to SAMHSA
- Levels of care
- Outpatient methadone/buprenorphine or naltrexone treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Buprenorphine maintenance · Prescribes buprenorphine · Prescribes naltrexone
- Medications used
- Buprenorphine with naloxone · Buprenorphine without naloxone · Naltrexone (extended-release, injectable)
- Treatment approaches
- Relapse prevention · Telemedicine/telehealth therapy
- Education and counseling
- Substance use disorder education
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency · State department of health · SAMHSA certification for opioid treatment program (OTP) · Drug Enforcement Agency (DEA)
- Ownership
- Private for-profit organization
- Transitional services
- Naloxone and overdose education
Questions to ask Start Fresh Treatment Center
- What does treatment cost without insurance, and do you offer a payment plan or sliding fee?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- Which medications do you prescribe (buprenorphine, methadone, naltrexone), and can I continue a medication I already take?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by North Carolina. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Start Fresh Treatment Center
Start Fresh Treatment Center reports accepting Self-pay. If you have Medicaid, ask whether the facility accepts your North Carolina Medicaid plan or can refer you to one that does. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Distance to specialized care from Asheville
Measured from the population center of Buncombe County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Asheville, about less than a mile
- Nearest methadone clinic (OTP): Asheville, about less than a mile (13 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Asheville, about less than a mile (19 within 25 miles)
See the Buncombe County treatment map, methadone clinics near Buncombe County and Suboxone doctors near Buncombe County.
Frequently asked questions
What services does Start Fresh Treatment Center offer?
Start Fresh Treatment Center reports these levels of care to SAMHSA: Outpatient, MAT. Call to confirm current services and openings.
Does Start Fresh Treatment Center accept insurance?
It reports accepting Self-pay. Ask whether your specific plan is in network before admission.
Where is Start Fresh Treatment Center located?
417 Biltmore Avenue, Asheville, NC 28801.
How far is the nearest medical detox from Asheville?
From the center of Buncombe County, the closest program offering medical detox is in Asheville, about less than a mile away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Asheville
Asheville Comprehensive Treatment Ctr
2 McDowell Street, Asheville, NC 28801
Asheville Detox Center
25 Choctaw St., Asheville, NC 28801
Asheville Recovery Center
9 Old Burnsville Hill Road, Asheville, NC 28804
BHG Asheville Treatment Center
18 Wedgefield Drive, Asheville, NC 28806
Beyond Addiction DWI/Counseling Agency
70 Woodfin Place, Asheville, NC 28801
See all 46 facilities in Asheville · Detox · Residential · Outpatient · Intensive outpatient · MAT · Methadone
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.