Why First Step?

We consider your needs first. You can rely on us to serve you in the most professional, confidential, and timely manner possible. We usually complete an assessment within 24-48 hours after you reach out to us. We pride ourselves with our convenient locations, affordable prices, and a good relationship with the local community, including EAPs, attorneys, and medical facilities.

Payment Options

We offer affordable payment options. We do everything we can to assist you with receiving the counseling or treatment you need, including DWI and other mandated counseling. There are no upfront or enrollment fees preventing you from getting into treatment. We will contact your insurance company for authorization and benefits.


With convenient locations across the Triangle and secure North Carolina Statewide Telehealth Services, First Step Services strives to be a leading alcohol and drug rehab center for our high-quality service and care.


Alcohol & Drug Counseling

First Step Services offers Alcohol and Drug Counseling Groups. Participants come to First Step for a variety of reasons. Groups include people who choose to receive services because they have become uncomfortable with their drug use

Outpatient Treatment

First Step provides Intensive Outpatient Programs (IOP) at all our locations. IOP by definition is an outpatient counseling group that meets for 3 hours, no less than 3 times per week.

Professionals Program

Our Professionals Program is specifically designed for professionals in need of long term recovery support and progress reports. Our featured Professionals Program provides structured aftercare and continuing care group therapy at our Raleigh and Cary facilities.

Mental Health Counseling

First Step Services has specialized in both mental health and substance use counseling since July 2001. Our multidisciplinary mental health team of therapists, social workers and psychiatrist work in unison to provide optimal care.

DWI Assessment

Fully licensed to assist you with your assessment in a professional, confidential and timely manner. First Step will often complete an assessment the day you call. Call us today!

Telehealth Services

Our team is ready and available to connect individually or to facilitate groups. We have telehealth services to connect virtually. Contact us today!

Take the First Step with us.

Professional Outpatient Rehab Center in North Carolina

The journey towards substance use recovery starts with your first step. It’s not easy, but with the help of a trusted addiction treatment center in North Carolina, the recovery process becomes more manageable.

First Step of North Carolina is one of North Carolina’s trusted rehab centers, specializing in Intensive Outpatient Programs for individuals suffering from drug and alcohol use. Our team is highly-trained in the areas of continuing care and aftercare for patients who have completed their residential, inpatient, and hospital programs.

With our license from the State of North Carolina, our center offers a single point of access for an extensive range of outpatient services.

As one of NC’s trusted rehab centers

we cover all aspects of substance use recovery:

Other services include

With our help, taking your first step towards recovery is easier. Our team will guide you through the journey, and focus on your improvement and welfare. Our goal is to see a happier and healthier version of you.

Our Mission:

Please note that the accepted insurances may vary depending on the location and type of service. For more information on accepted insurances, you may contact your insurance provider or reach out to us for further information. Our helpful staff will be happy to assist you and answer any questions you may have.

Are you a provider making an initial behavioral health referral?
Please send your referral using our Raleigh or Cary fax number! Thank you!

Take the first step by getting in touch with us today.

First Step Services has multiple NC Locations:

Client Experiences

Our self-pay rates will soon be updated. Please contact our staff for more information.