First Step Services of North Carolina
OutpatientDual diagnosisMedicaidPrivate insuranceTRICARE / VASliding scaleSelf-pay
Services reported to SAMHSA
- Levels of care
- Outpatient
- Treatment focus
- Substance use treatment · Mental health treatment
- Facility type
- Outpatient mental health facility
- Medications used
- Non-nicotine smoking/tobacco cessation
- Treatment approaches
- Activity therapy · Cognitive behavioral therapy · Couples/family therapy · Integrated Mental and Substance Use Disorder treatment · Individual psychotherapy · Telemedicine/telehealth therapy · Abnormal involuntary movement scale
- Education and counseling
- Smoking/vaping/tobacco cessation counseling
- Special programs
- Veterans · Clients with co-occurring mental and substance use disorders
- Ages accepted
- Young Adults · Adults · Seniors
- Payment accepted
- Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid · U.S. Department of VA funds
- Payment assistance
- Sliding fee scale (fee is based on income and other factors)
- Ownership
- Private for-profit organization
- Other services
- Court-ordered outpatient treatment · Family psychoeducation · Suicide prevention services · Education services
Questions to ask First Step Services of North Carolina
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- 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 First Step Services of North Carolina
First Step Services of North Carolina reports accepting Medicaid, Private insurance, TRICARE / VA, Sliding scale, Self-pay. With North Carolina Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law. A sliding fee scale is available, so bring proof of income.
Frequently asked questions
What services does First Step Services of North Carolina offer?
First Step Services of North Carolina reports these levels of care to SAMHSA: Outpatient, Dual diagnosis. Call to confirm current services and openings.
Does First Step Services of North Carolina accept insurance?
It reports accepting Medicaid, Private insurance, TRICARE / VA, Sliding scale, Self-pay. Ask whether your specific plan is in network before admission.
Where is First Step Services of North Carolina located?
128 Quade Drive, Cary, NC 27513.
How far is the nearest medical detox from Cary?
From the center of Wake County, the closest program offering medical detox is in Raleigh, about 2.5 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Cary
400 Keisler Dr #110, Cary, NC 27518
Outpatient
Call (919) 336-4241Details
128 Quade Drive, Cary, NC 27513
OutpatientIntensive outpatientMATDual diagnosisMedicaidPrivate insuranceSliding scaleSelf-pay
Call (919) 833-8899Details
103 Towerview Court, Cary, NC 27513
OutpatientIntensive outpatientPartial hospitalizationDual diagnosisPrivate insuranceSelf-pay
Call (919) 679-7577Details
2000 Regency Pkwy #255, Cary, NC 27518
Outpatient
Call (984) 272-4590Details
9003 Weston Parkway, Cary, NC 27513
Outpatient
Call (919) 677-1400Details
300 Ashville Avenue, Cary, NC 27513
OutpatientDual diagnosisMedicaidMedicarePrivate insuranceSelf-pay
Call (866) 272-7826Details
See all 13 facilities in Cary · Outpatient · Accepts Medicaid · Private insurance · Teens · Veterans · Dual diagnosis
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.