Whole-person addiction medicine - meeting you where you are.

BBAMS connects hospital, clinic, and community so recovery has no wrong door.

WHAT WE DO

Our team is dedicated to providing compassionate and comprehensive support for patients struggling with substance use disorders, starting from the moment they enter our care. We believe in a holistic approach that addresses the physical, emotional, psychological,
and spiritual aspects of recovery.
Physician

Expert Medical Care

Our service is led by a medical doctor and nurse practitioners who are board-certified in addiction medicine. This specialized expertise allows us to provide evidence-based, life-saving treatments, including medication-assisted therapies,
to ensure patient safety and improve outcomes.
Personalization

Personalized Support

We understand that every recovery journey is unique. We connect patients with peers—individuals with lived experiences in recovery—who offer invaluable guidance, empathy, and hope. This unique perspective helps bridge the gap between medical treatment and real-world recovery.
Recovery Partner

Partner in Recovery

We are committed to walking with you every step of the way, from your very first visit and throughout your recovery journey. Our goal is to provide a seamless continuum of care that supports you long-term, helping you navigate the challenges and celebrate the milestones of a healthier, substance-free life.

REMOVING OBSTACLES FOR CARE

Getting help shouldn’t be hard. We remove obstacles to care by offering low-threshold MOUD (medications for opioid use disorder)—meaning minimal paperwork, no complicated prerequisites, and treatment that starts when you’re ready. Instead of hoops or waitlists, we provide immediate appointments with no waiting, so you can begin a safe, evidence-based plan the same day whenever it’s medically appropriate.

You won’t have to navigate this alone. A dedicated Peer Support Specialist—someone with lived experience—walks with you step by step: getting to your first visit, understanding your options, starting medications, and staying connected to follow-up, counseling, and community resources. We lead with dignity, respect, and practical help so care is simple, welcoming, and built around you. 

GETTING HELP HAS NEVER BEEN EASIER

At Breeches Buoy Addiction Medicine Service (BBAMS), we believe that help should be immediate, compassionate, and easy to access. Too often, people seeking treatment face waiting lists, complex referral systems, and judgment that make recovery feel out of reach. BBAMS was built to change that. 

Low-Threshold Access to Care

You don’t need to meet complicated requirements, prove readiness, or wait for approval. Our low-threshold approach means that anyone ready to take the first step can begin care right away—without barriers, stigma, or delay. 

Immediate Appointments

When you reach out, you’re seen the same day. Whether you walk in, call, or are referred from the Emergency Department or community partner, our team is ready to start treatment immediately, including access to medication for opioid use disorder (MOUD) if appropriate.

A Dedicated Peer

From your first visit forward, you’re never alone. A Certified Peer Support Specialist—someone who’s walked their own recovery journey—will guide you through every step, from intake to follow-up care, helping you connect to housing, counseling, and community resources that support lasting recovery.

Simplified Recovery

We’ve removed the red tape and built a bridge between hospital care, community support, and real-life recovery. Whether you’re seeking medication-assisted treatment, counseling, or simply a safe place to start, BBAMS makes it simple to get the help you deserve—right now.

Community Partners

8:30AM - 4:30PM Monday-Friday
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Emergency

If you or someone you know is experiencing a true medical emergency related to substance use disorder (SUD) such as trouble breathing, chest pain, seizure, loss of consciousness, or suspected overdose call 911 immediately.
Dial 911 Now

Suicide Hotline

If you are struggling with thoughts of suicide, hopelessness, or feeling like you can’t go on especially if you are also coping with substance use disorder please reach out to the Suicide and Crisis Lifeline by calling or texting 988 or visiting 988lifeline.org.
Dial 988 Now

NC Peer Warmline

A free, private phone number you can call day or night to talk with someone who understands. You’ll be connected to someone who has personal experiences with mental health or substance use disorders. You can call 1-855-PEERS-NC any time you're feeling sad, stressed, lonely, or just need to talk. You don't need to be in crisis to call.
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