Four Circles Recovery Center in Horse Shoe, NC

Overall Rating

(3.3 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
156 Clear Crossing Lane
Horse Shoe NC 28742

Four Circles Recovery Center Philosophy

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Areas of Specialization

Relapse Prevention

Facility Highlights

Holistic Treatment
Relapse Prevention Track
Gender Specific Groups Editorial Review

Review by Contributors


Located in the scenic Blue Ridge Mountains, only 15 minutes outside of Asheville, N.C., Four Circles Recovery Center is a wilderness-based program for young adults, ages 18 to 28, who are struggling with addiction and/or co-occurring mental health issues. Grounded in 12-step principles, Four Circles incorporates clinical and holistic elements into its gender-specific treatment programs.

Although length of stay ultimately depends on the particular needs and background of each individual, Four Circles requires a minimum 42-day commitment, and offers treatment plans that can extend past three months. Detox services are not available on-site.


In line with the core belief that men and women respond differently to drugs and alcohol, programming at Four Circles is gender-specific. Accordingly, men’s and women’s living quarters, therapeutic services, and wilderness activities are all separate.

Treatment consists of a blend of evidence-based modalities and holistic therapies that collectively aim to meet each individual’s physical, mental, emotional, and spiritual needs (hence, the four circles). In addition to receiving individual, group, and family therapy, clients attend courses and partake in treatments such as 12-step meetings, nutritional classes, and cognitive behavioral therapy (CBT), art therapy, yoga, journaling, reading, and life skills training.

Four Circles encourages loves ones to participate in weekly family therapy sessions by phone, and attend monthly two-day family workshops, both designed to engage and educate family members.

The facility also offers a 21-day relapse prevention track for individuals who have relapsed after completing treatment at any rehab center within the past year.


Four Circles’ treatment team consists of licensed professionals, social workers, and therapists who come from diverse backgrounds in the substance abuse treatment field. The facility’s website makes mention of its contracted psychiatrist and nurse practitioner, both of whom are can be made available within 24 hours when necessary.


Central to Four Circles’ programming are its wilderness expeditions, which are designed to help individuals build confidence, foster self-reliance, and obtain real world skills in a challenging natural environment. Camping and cooking out, in combination with adventure activities such as canoeing, rock climbing, fly fishing, and whitewater rafting make up the trip curriculum.

Outings usually last anywhere from a week to 10 days, and are followed by three to four days of service projects, meetings, and various therapeutic activities on campus, before heading back out to the wilderness again.


Three alumni polled by to date gave Four Circles mixed reviews, with one alum rating the facility five out of five stars, the other two stars, and the third only one-star in treatment effectiveness, meals and nutrition, and accommodations and amenities. All alumni wrote that food and nutrition were subpar. Two alumni wrote favorably about the staff but rated the facility’s counseling options and affordability as mediocre with two- and three-star ratings. The one-star reviewer wrote: “This place costing $1,800 a day (without insurance) is complete robbery.”

On Google, Four Circles received more favorable reviews, with an average 4.4- out of five-star recommendation from 26 reviewers to date.[1] Reviews were mostly polarized between one and five stars. Supporters mainly described the program’s adventure therapy as hardy and a good way to escape societal distractions while critics wrote the program was too religious and dangerous for people seeking recovery from addiction.


Two loved ones wrote polarized reviews of Four Circles to date. Loved one Tammy rated the facility five out of five stars for its holistic treatment options and counseling services, and wrote glowingly about the facility’s staff and communications between the facility and family. But loved one D.E. criticized Four Circle’s poor program and lack of amenities, calling the facility a “prolonged detox center.”


Specific information regarding Four Circles’ treatment costs are not available, but the facility’s website does state that they will work with insurances to provide the highest possible reimbursement. Healthgrove reports the center accepts Medicare, state insurance, and Access to Recovery Vouchers.

Updated February 2017


Published on February 2017

User Reviews

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Our son went into the center with the hope of overcoming his addiction. His experience and ours were less than expected. There was a 30 minute meeting but no orientation of expectations, goals etc. The amenities were that there were none. The counseling consisted of meeting with a "counselor" one per week for approximately 30 minutes. This is basically a prolonged detox center. Ironically I just attended a program where a young lady spoke about her experience at Four Circles. She relapsed immediately after leaving the program due to receiving little counseling and a lot of walking. They are more interested in money for hikers and staff cost. Our son left the program and finally made the decision to stop using. We would not recommend this facility.

Official Facility Response

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  • Accommodations & Amenities
  • Meals & Nutrition
Majority of this is a complete lie. 1. It says your out in the wildreness for 4 -14 days. False. You are out 14 days everytime. 2. Says you come back to shower. False. the 14 days you are out there you won't get one shower. 3. Says you see a therapist 4 times per week. False. You get 1, 30 minute session with your therapist per week. Group sessions are with your guides who have no training in that area. 4. Says food is good. BSfood is awful. You will be hungry. 5. You will be completely miserable. Majority of people there are there because the court forced them. If you have a choice. DO NOT GO HERE. I REPEAT. DO NOT GO HERE. The very nice place you see in all the pictures is where all the main people work. You rarely go in there. They don't show you where you stay on base because it's gross. literally trash. This place costing $1,800 a day (without insurance) is complete robbery. You get one call home once every three weeks. You're therapist calls them before hand to fill them in. So when you tell them how much of a cruddy the place is they won't believe you because the therapist just told him or her how lovely it is. When you try to leave it's horrible. They make you spend hours on end filling out paperwork. literally all. day. long. Please help yourself and find somewhere that cares about your well being rather than their pockets.

Official Facility Response

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  • Accommodations & Amenities
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Spiritual growth encouraged. Food was bad, too much hiking, not enough recovery. Overall a good experience, first rehab I attended and I have almost 2 year of continuous sobriety today

Official Facility Response

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Staff was great but nutrition was a downfall.

Official Facility Response

  • Treatment Effectiveness
  • Accommodations & Amenities
  • Meals & Nutrition
Our older son was there in 2012. Wonderful family program facilitated by the staff. His aftercare provides a weekly update and we are financially supporting our son until he can find a job to support himself. Our son has a renewed outlook on life that is positive. This facility most likely has saved our son's life. FCRC is focused on treatment of young adults ages 18 - 30 and they do it better than any other program that I've heard about. Both of our sons have been fortunate to be treated here and it has been a life-changing experience in both cases. Our older son has been clean since 2012 (he did relapse, but is now sober again thanks to the tools he learned at FCRC). Addiction is a chronic disease and is very difficult to treat, but the staff at FCRC have patience and passion and the expertise to do it well.

Official Facility Response

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