Congratulations to our winner, William Piner of Wilmington!
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“Coastal has been awesome in helping me deal with my recovery - it's my home away from home.”
Need a checkup?

Horizons Health offers convenient primary health and integrated care services to clients.

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Here when you need us.

Our Rape Crisis Team and Emergency Youth Shelter are available 24/7.

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Reach for the sky with Outdoor Adventure's Alpine Tower!

Healthier Lives. Stronger Families. Safer Communities.

Coastal Horizons promotes healthier lives, stronger families, and safer communities by providing a broad range of effective, evidence-based substance use, mental health, crisis intervention, justice, and wellness services to persons in need. As a nationally accredited, non-profit corporation, Coastal Horizons provides services in more than half of the one hundred counties in North Carolina.

Substance Use & Mental Health

A wide range of comprehensive, evidence-based prevention, outpatient treatment & support services are available for clients and their families, including specialized services in Spanish.

Crisis Intervention

Services for victims of sexual assault, and displaced abused, neglected and vulnerable youth 6-18 years of age in need of emergency shelter are available 24 hours a day, 7 days a week.

Health & Wellness

Our Horizons Health and Wilmington Health Access for Teens programs provide
easy access to comprehensive primary care, mental health, and wellness services.

Justice Services

A continuum of services is provided to justice involved individuals in 53 counties of North Carolina, along with live and virtual statewide training for staff providing related services.

No one will be denied access to services due to inability to pay.  A discounted/sliding fee schedule is available based on family size and income.

Diversity, Equity, and Inclusion

Coastal Horizons is committed to building an environment in which all members of our community feel welcome, affirmed, and included. This includes embracing and increasing diversity and a sense of belonging amongst our staff and client population, as well as assuring we focus our efforts to improve access to wellness, justice, mental health, crisis intervention, and substance use services in an equitable manner. Further, we want our community to know we are dedicated to improving the health and quality of life of ALL within our service regions and beyond- by way of direct service, collaboration, outreach, research, education, and advocacy.

A Trillium Valued Provider

Trillium Health Resources, a local governmental agency (LME/MCO) that manages mental health, substance use, and intellectual/developmental disability services in eastern North Carolina, has recognized Coastal Horizons as a Valued Provider in several areas.  Trillium has designated these seals to those providers who dedicate long hours and energy to a shared mission of helping clients improve their well-being and lead fulfilling lives.  As a Valued Provider, Coastal Horizons has demonstrated quality services and met rigorous operational criteria while demonstrating a commitment to care and an unparalleled work ethic.


You make our work possible!

Our continued ability to provide quality services is in large part due to the generosity of countless members of the community who support our cause.  Whether it's a donation or sponsorship, a few hours of volunteer work, or a simple click of the mouse, you can help!