Best Drug & Alcohol Rehab Centers in South Carolina
South Carolina recorded 2,035 overdose deaths in 2023, making it the state with the 3rd highest per capita rate in the US at 39.2 per 100,000 residents. Fentanyl was found in about 75% of those deaths. Provisional 2024 data shows a 26.4% decrease to roughly 1,535 deaths.
Unlike many states, South Carolina has not expanded Medicaid under the ACA, creating a coverage gap for many low-income residents. The state's Department of Alcohol and Other Drug Abuse Services (DAODAS) fills this gap by funding 33 county-level agencies that provide free or sliding-scale treatment. The combination of high overdose rates and limited Medicaid makes these DAODAS-funded programs critical.
Here is what South Carolina offers for addiction treatment:
- Free and DAODAS-funded treatment: 33 county-level agencies, Alpha Center (men, Columbia), Charleston Center
- Inpatient and outpatient programs: across Columbia, Charleston, Greenville, and Myrtle Beach areas
- Columbia: Landmark Recovery, FAVOR SC, Alpha Center
- Charleston: Coastal Detox, Palmetto Lowcountry, Charleston Center
- Upstate: Phoenix Center (Greenville)
- Coastal: Shoreline (Conway/Myrtle Beach), Owl's Nest (Florence)
In this guide, we have reviewed 10 top rehab centers across South Carolina, covering their treatment methods, costs, and who they serve best.
Addiction in South Carolina: Key Statistics
- 2,035 overdose deaths (2023)
- ~1,535 provisional (2024, -26.4%)
- 39.2/100k rate (3rd highest in US, 2023)
- ~75% involved fentanyl
- No Medicaid expansion
- DAODAS funds 33 county agencies
Top Rehab Centers in South Carolina
Landmark Recovery (Columbia)
Landmark Recovery in Columbia provides residential, detox, and outpatient treatment. Part of a multi-state network, they deliver evidence-based treatment with a focus on individualized recovery plans.
- Columbia
- Multi-state network
- Residential, detox, outpatient
- Evidence-based
- Individualized plans
Best for: Columbia residents wanting residential treatment from an established multi-state provider
The Owl's Nest Recovery (Florence)
The Owl's Nest in Florence offers residential treatment in the Pee Dee region of eastern South Carolina. They serve an area with limited treatment options, providing accessible residential care for rural communities.
- Florence (Pee Dee region)
- Residential treatment
- Rural community service
- Eastern SC access
- Extended residential options
Best for: People in eastern SC/Pee Dee region needing residential treatment close to home
Coastal Detox & Recovery (Charleston)
Coastal Detox in Charleston provides medically supervised detoxification and recovery programs. Located in the Charleston metro, they serve one of SC's most populated areas with specialized detox services.
- Charleston
- Medical detox specialty
- Recovery programs
- Charleston metro service
- Medically supervised
Best for: Charleston-area residents needing medically supervised detox as a first step to recovery
The Felician Center (Kingstree)
The Felician Center in Kingstree provides residential treatment for women and their children. This unique model allows mothers to stay with their kids during treatment, removing a major barrier that prevents women from seeking help.
- Kingstree (rural SC)
- Women and children together
- Residential treatment
- Family preservation
- Barrier removal for mothers
Best for: Mothers who need residential treatment but cannot leave their children
Palmetto Lowcountry Behavioral (North Charleston)
Palmetto Lowcountry Behavioral Health in North Charleston provides inpatient and outpatient addiction treatment. They offer psychiatric and substance use treatment with the support of a hospital-level behavioral health system.
- North Charleston
- Inpatient and outpatient
- Psychiatric services
- Hospital-level resources
- Behavioral health system
Best for: People with co-occurring psychiatric and substance use disorders in the Charleston area
FAVOR SC (Columbia)
FAVOR SC (Faces and Voices of Recovery) provides peer support and recovery coaching services in Columbia. They focus on long-term recovery support and advocacy, connecting people to treatment and maintaining ongoing community support.
- Columbia
- Peer support and coaching
- Recovery advocacy
- Treatment connection
- Long-term community support
Best for: People wanting peer-led recovery support and help connecting to treatment
Shoreline Behavioral Health (Conway)
Shoreline in Conway serves the Grand Strand/Myrtle Beach area with addiction treatment and prevention services. As a DAODAS-funded agency, they provide accessible treatment for the Horry County community.
- Conway (Myrtle Beach area)
- DAODAS-funded
- Treatment and prevention
- Grand Strand service
- Accessible community care
Best for: Myrtle Beach/Grand Strand residents needing funded, community-based treatment
Charleston Center (Charleston)
Charleston Center provides outpatient addiction treatment in downtown Charleston. They offer detox, outpatient, and MAT services as a county-funded treatment provider, making treatment accessible for uninsured and underinsured residents.
- Charleston (downtown)
- County-funded
- Detox, outpatient, MAT
- Uninsured/underinsured welcome
- Accessible pricing
Best for: Uninsured Charleston residents needing affordable outpatient and MAT services
Alpha Center (Columbia)
Alpha Center in Columbia provides residential treatment for men. They focus on long-term recovery through structured programming and life skills development, helping men build a foundation for lasting sobriety.
- Columbia
- Men only (residential)
- Long-term recovery focus
- Life skills development
- Structured programming
Best for: Men in the Columbia area wanting structured, long-term residential treatment
Phoenix Center (Greenville)
Phoenix Center in Greenville serves the Upstate region with addiction treatment and prevention. As the DAODAS-funded agency for the Greenville area, they provide accessible treatment for the state's second-largest metro.
- Greenville (Upstate)
- DAODAS-funded
- Treatment and prevention
- Upstate service area
- Major metro coverage
Best for: Greenville/Upstate SC residents needing funded, community-based treatment
Free Rehab Centers in South Carolina
Free or Low-Cost Options:
- DAODAS-funded agencies - 33 county-level agencies across SC
- Alpha Center - Men's residential (Columbia)
- Charleston Center - County-funded outpatient
- FAVOR SC - Free peer support (Columbia)
How to access:
- DAODAS: Call (803) 896-5555
- 988 crisis line: Call or text 988
- SAMHSA helpline: Call 1-800-662-4357 (free, 24/7)
For a full guide, see our rehab costs and insurance guide.
Types of Rehab Programs in South Carolina
Inpatient Residential
- Landmark (Columbia), Owl's Nest (Florence), Felician (women/children), Alpha (men)
- 28-90 days
Outpatient/IOP/MAT
- Charleston Center, Shoreline, Phoenix Center, Palmetto Lowcountry
- Detox, IOP, MAT, prevention
Cost of Rehab in South Carolina
| Program Type | Typical Duration | Average Cost |
|---|---|---|
| Outpatient | 8-16 weeks | $1,500 - $8,000 |
| Intensive Outpatient (IOP) | 8-12 weeks | $3,000 - $10,000 |
| Inpatient Residential | 28-90 days | $5,000 - $30,000 |
| Medical Detox | 5-10 days | $2,000 - $6,000 |
| DAODAS Programs | Varies | Free/Sliding Scale |
How to Choose the Right Rehab in South Carolina
- Budget: DAODAS agencies (free/sliding scale). Alpha Center (men). Charleston Center (county-funded). No Medicaid expansion, so DAODAS programs are critical for uninsured.
- Columbia: Landmark (residential), FAVOR SC (peer support), Alpha Center (men).
- Charleston: Coastal Detox, Palmetto Lowcountry, Charleston Center.
- Greenville: Phoenix Center (DAODAS-funded).
- Women/children: Felician Center (Kingstree) - families stay together.
- Coastal: Shoreline (Myrtle Beach/Conway).
- Aftercare: Look for programs with relapse prevention and support group connections.
Frequently Asked Questions
Are there free rehab centers in South Carolina?
Yes. SC DAODAS funds county-level agencies that provide free or low-cost treatment. Alpha Center in Columbia offers men's residential. Charleston Center provides outpatient services. FAVOR SC offers peer support. Call DAODAS at (803) 896-5555 or SAMHSA at 1-800-662-4357.
Does South Carolina Medicaid cover rehab?
South Carolina has not expanded Medicaid, so coverage is limited to certain groups (pregnant women, families, disabled individuals). DAODAS-funded centers fill the gap for uninsured residents. Check eligibility at scdhhs.gov.
How long is rehab in South Carolina?
Medical detox lasts 5-10 days. Residential programs run 28-90 days. IOP lasts 8-12 weeks. Owl's Nest offers extended residential care. The Felician Center provides long-term residential programs for women and children.
How much does rehab cost in South Carolina?
Outpatient runs $1,500 to $8,000. Inpatient runs $5,000 to $30,000. Detox costs $2,000 to $6,000. DAODAS-funded programs are free or sliding scale for qualifying residents. SC costs are below national average.
Are overdose deaths declining in South Carolina?
Yes. SC recorded 2,035 overdose deaths in 2023 (3rd highest per capita in the US at 39.2/100k). Provisional 2024 data shows a 26.4% decrease to about 1,535 deaths. Fentanyl was the primary driver, found in about 75% of overdose deaths.
What is DAODAS?
DAODAS (Department of Alcohol and Other Drug Abuse Services) is South Carolina's state agency that funds and coordinates substance abuse prevention and treatment services. They fund 33 county-level agencies that provide free or sliding-scale treatment for qualifying residents.
Are there women-specific programs?
Yes. The Felician Center in Kingstree provides residential treatment for women and their children, allowing mothers to stay with their kids during recovery. Several other facilities offer women-only tracks.
Is fentanyl the main concern?
Yes. Fentanyl was found in approximately 75% of SC overdose deaths (2023). South Carolina had the 3rd highest per capita overdose rate in the US at 39.2 per 100,000. The decline in 2024 is partially due to improved drug seizures, naloxone distribution, and treatment access.
Medical Disclaimer: This article is for educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making changes to your treatment plan. If you are experiencing a medical emergency, call 911 immediately. For substance use support, call SAMHSA at 1-800-662-4357 (free, confidential, 24/7).
Get Help for Addiction in South Carolina
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