Start Fresh Treatment Center
Treatment center
At a glance
- Address
- 417 Biltmore Avenue, Asheville, NC 28801
- Levels of care
- OutpatientTelemedicine
- Ages served
- Young Adults (Ages 18-25)Adults (Ages 26-64)Seniors (Ages 65+)
- Accreditation

Detox and medication
Detox
- Not offered: Opioids
- Not offered: Alcohol
- Not offered: Benzodiazepines
- Not offered: Methamphetamines
- Not offered: Cocaine
Medication assisted treatment
- Offered: Buprenorphine
- Offered: Naltrexone
- Not offered: Methadone
Other treatment centers close by
Within about 14 miles of this address, nearest first.
Meetings in Asheville
Treatment and fellowship meetings do different jobs, and most people end up using both.
Questions people ask about Start Fresh Treatment Center
What kind of care does Start Fresh Treatment Center provide?
They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and Asheville has 8 other centers within 14 miles.
Does Start Fresh Treatment Center offer a detox?
They do not detox. Withdrawal from alcohol or benzodiazepines in particular is a medical event, and the closest place set up for it is in Asheville, a few streets away.
Are there alternatives to Start Fresh Treatment Center?
The nearest other center is a few streets away, in Asheville, and there are 8 inside 14 miles.
Can you stay overnight at Start Fresh Treatment Center?
They provide outpatient care and not a residential stay, so there is no bed to wait for. The nearest place with one is in Asheville, a few streets away.
Which medications does Start Fresh Treatment Center prescribe?
They prescribe buprenorphine and naltrexone, which means the medication side is handled here rather than referred out to somewhere else in Asheville.
What is aftercare?
Aftercare is the step down: less intensive, longer lasting, and often the difference that lasts. Nothing booked for the first week back is the most common gap in a discharge plan. Ask whether the center keeps treating you afterwards or hands you on.
What is different about mandated treatment?
It is common, and a program that takes referrals will know exactly what the court expects. An approved list is kept by the court or the supervising officer, and programs move on and off it. Bring the order itself, or a copy, to the first appointment.
Do I have to stop my prescriptions?
What you take comes with you, in the original labeled containers, and is reviewed on arrival. Anything needing a blood test or a monthly injection has to be scheduled around the program, which is easier arranged before admission. Ask how soon after arrival you would see a prescriber.