NARCOG is governed by a fourteen member Board of Directors. The members of the Board are chosen by the respective County Commissions of Cullman, Lawrence, and Morgan counties. The Board of Directors meets monthly throughout the year, typically on the fourth Wednesday of every month. The officers of NARCOG are elected by the Board annually in November of each year. The officers serve as the Executive Committee along with the Executive Director who serves on the committee in an ex-officio capacity. Day-to-day management of NARCOG is done by a management team consisting of the Executive Director and three departmental Directors. In addition to the Executive Committee, there are four standing advisory committees made up of community volunteers who assist with specific program areas and services provided by NARCOG.