Compare 72 drug and alcohol rehab centers across North Dakota, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down treatment options for yourself or someone you love.
Fargo, ND
Fargo · Outpatient
The Village Family Service Center has been helping children and families since 1891 from locations throughout North Dakota and Minnesota. The organization offers treatment for mental health and substance use disorder (SUD). Services offered at their Fargo, North Dakota, office…
Bismarck, ND
Bismarck · Detox, Inpatient, Outpatient
Tucked right into the heart of Bismarck, North Dakota you'll find the West Central Human Service Center (WCHSC). This is a really important place for folks in a wide stretch of the state who are dealing with tough times related…
Fargo, ND
Fargo · Inpatient, Outpatient
Centre Fargo Male Transitional Facility is a nonprofit agency serving Fargo, North Dakota, that assists the courts and other public agencies in community based mental health and addiction treatment services. Treatment through Centre Fargo aims to be cost-effective and serve…
Minot, ND
Minot · Outpatient
The North Central Human Service Center (NCHSC) is a public clinic located in Minot, North Dakota, next to the local Scandinavian Heritage Park. They offer several residential and outpatient treatment programs to adults and adolescents struggling with substance and alcohol…
Fargo, ND
Fargo · Detox, Inpatient, Outpatient
Serving the community of Fargo, North Dakota, Soul Solutions Recovery Center offers a variety of outpatient addiction treatment programs for adults. You’ll choose from low intensity, intensive outpatient, day treatment, and recovery management services when you choose to enroll in…
Fargo, ND
Fargo · Detox, Inpatient, Outpatient
Prairie St. John’s is a psychiatric hospital with treatment programs for children, teens, and adults. They treat clients with substance use and addiction issues as well as co occurring mental health disorders. The hospital is in Fargo, North Dakota and…
Bismarck, ND
Bismarck · Detox, Inpatient, Outpatient
The Heartview Foundation in Bismarck, North Dakota, is situated on an entire block of Broadway and houses a 13-bed residential facility, an opioid treatment program (OTP), and day treatment group rooms. The facility treats clients for the use of alcohol,…
Fargo, ND
Fargo · Inpatient, Outpatient
ShareHouse Fargo, located in Fargo, North Dakota, is a residential addiction treatment center helping adult men and women recover from substance use disorders (SUDs). Opioids are the leading cause of unintentional overdose deaths in Fargo. They provide treatment for opioid…
Jamestown, ND
Jamestown · Inpatient, Outpatient
The North Dakota State Hospital on Circle Drive in Jamestown, North Dakota has adult inpatient and outpatient treatment options for mental health and addiction issues. Treatment here includes everything from residential and short-term inpatient treatment to outpatient programs that provide…
Cando, ND
Cando · Detox, Inpatient, Outpatient
Heartview Foundation was created in 1964 and has served thousands of clients who want to recover from substance use disorders. At their Cando location in North Dakota, they offer a residential addiction treatment program in a rural and serene environment.…
Bismarck, ND
Bismarck · Detox, Inpatient, Outpatient
Based in Bismarck, North Dakota, this is one of many Ideal Option locations. This particular facility specializes in accredited outpatient addiction treatment and provides care to clients aged 18 and older. Most commercial insurance providers are accepted including Medicaid, Medicare…
Mandan, ND
Mandan · Inpatient, Outpatient
In central Mandan, North Dakota, on the banks of the Missouri River, Center operates their Residential Reentry Center. Center is a nonprofit organization founded in 1976 and dedicated to providing transitional living and rehabilitation services to people who are either…
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ADAPT Bismarck Office |
1720 Burnt Boat Drive Suite 108, Bismarck, ND 58503 |
ADAPT Bismarck Office in Bismarck, North Dakota, is part of a statewide agency that offers in-person and online treatments and classes. Some of their services satisfy court-ordered classes for DUI and other offenses. Offender Programs Required by the Justice Department Offender courses are offered for minors in possession (MIP), consumption and DUIs. Offender courses are required by the state for… |
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Heartview Foundation – Bismarck |
101 East Broadway Avenue, Bismarck, ND 58501 |
The Heartview Foundation in Bismarck, North Dakota, is situated on an entire block of Broadway and houses a 13-bed residential facility, an opioid treatment program (OTP), and day treatment group rooms. The facility treats clients for the use of alcohol, opioids, heroin, methamphetamines, prescription drugs, and other illicit substances. They also treat substance use with co-occurring mental health disorders. The… |
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New Freedom Center |
905 East Interstate Avenue, Bismarck, ND 58503 |
Located in Bismarck, North Dakota, is New Freedom Center. This is a drug treatment facility that helps men and women struggling with addictions to prescription and illegal drugs. They also address addictions to gambling, alcohol, and other substances. They have well structured residential and outpatient treatment programs. Their residential program provides round the clock support to help you work through… |
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Heartview Foundation Cando |
7448 68th Avenue Northeast, Cando, ND 58324 |
Heartview Foundation was created in 1964 and has served thousands of clients who want to recover from substance use disorders. At their Cando location in North Dakota, they offer a residential addiction treatment program in a rural and serene environment. This facility has the capacity to accommodate 16 individuals at a time. Special therapy approaches used at Heartview include equine… |
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Badlands Human Service Center |
1463 I-94 Business Loop East, Dickinson, ND 58601 |
The Badlands Human Service Center in Dickinson, North Dakota, provides behavioral health services for adults. The clinic accepts Medicare, Medicaid, military insurance, and private insurance coverage. Clients will not be denied treatment due to inability to pay. A sliding fee schedule is available based on income. The clinic is a division of the North Dakota Department of Health and Human… |
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Centre |
123 15th Street North, Fargo, ND 58102 |
Centre Fargo Male Transitional Facility is a nonprofit agency serving Fargo, North Dakota, that assists the courts and other public agencies in community based mental health and addiction treatment services. Treatment through Centre Fargo aims to be cost-effective and serve as an adjunct to parole and probation supervision. These rehab services are specialized and give the state an opportunity to… |
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Prairie St. John’s |
510 4th Street South, Fargo, ND 58103 |
Prairie St. John’s is a psychiatric hospital with treatment programs for children, teens, and adults. They treat clients with substance use and addiction issues as well as co occurring mental health disorders. The hospital is in Fargo, North Dakota and is in network with many major insurance companies and managed care plans. This Joint Commission accredited hospital is only one… |
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ShareHouse Fargo |
4227 9th Avenue South, Fargo, ND 58103 |
ShareHouse Fargo, located in Fargo, North Dakota, is a residential addiction treatment center helping adult men and women recover from substance use disorders (SUDs). Opioids are the leading cause of unintentional overdose deaths in Fargo. They provide treatment for opioid use disorder (OUD), but also help people facing alcohol, meth, or other substance addictions take steps toward healing and long-term… |
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Southeast Behavioral Health Clinic |
2624 9th Avenue Southwest, Fargo, ND 58103 |
Southeast Behavioral Health Clinic is an addiction treatment center in Fargo, North Dakota. They're open 8 a.m. to 5 p.m., Monday to Friday. Y ou can walk in on a weekday for a behavioral health assessment, and you don't need an appointment. Region 5 Service Area Southeast is one of eight regional clinics that North Dakota Health and Human Services… |
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The Village Family Service Center |
2701 12th Avenue South, Fargo, ND 58103 |
The Village Family Service Center has been helping children and families since 1891 from locations throughout North Dakota and Minnesota. The organization offers treatment for mental health and substance use disorder (SUD). Services offered at their Fargo, North Dakota, office include the First Steps Recovery program, Big Brothers and Big Sisters, and insurance based and Employee Assistance Program counseling clients.… |
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Northeast Behavioral Health Clinic |
151 South 4th Street Suite 401, Grand Forks, ND 58201 |
Northeast Human Service Center (NHSC) is a local government initiative to provide behavioral health services and access to resources in Grand Forks, North Dakota. It is one of eight regional human service centers that is operated by the North Dakota Health and Human Services department. This particular location provides access to care for people located in region IV which includes… |
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North Dakota State Hospital |
2605 Circle Drive, Jamestown, ND 58401 |
The North Dakota State Hospital on Circle Drive in Jamestown, North Dakota has adult inpatient and outpatient treatment options for mental health and addiction issues. Treatment here includes everything from residential and short-term inpatient treatment to outpatient programs that provide care from one appointment a week and day treatment programs that provide daily support throughout the week. Various Programs to… |
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South Central Human Service Center |
520 3rd Street Northwest, Jamestown, ND 58401 |
South Central Human Service Center is located in Jamestown, North Dakota, and provides programs and services for individuals fighting mental Health or substance abuse disorders. This facility is one of eight sites that serve region VI for the residents of Barnes, Dickey, Foster, Griggs and surrounding counties. They accept most private insurance plans. They also feature self-pay options and a… |
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Centre Mandan Facility |
100 6th Avenue Southeast, Mandan, ND 58554 |
In central Mandan, North Dakota, on the banks of the Missouri River, Center operates their Residential Reentry Center. Center is a nonprofit organization founded in 1976 and dedicated to providing transitional living and rehabilitation services to people who are either reintegrating back into society after a drug related prison sentence or who have to undergo rehab as a part of… |
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North Central Human Service Center |
1015 South Broadway Suite 18, Minot, ND 58701 |
The North Central Human Service Center (NCHSC) is a public clinic located in Minot, North Dakota, next to the local Scandinavian Heritage Park. They offer several residential and outpatient treatment programs to adults and adolescents struggling with substance and alcohol addictions. They’ve assisted clients since 1981. NCHSC is a part of the North Dakota Health and Human Services, which means… |
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Trinity Health St. Joseph’s Hospital |
407 3rd Street Southeast, Minot, ND 58701 |
Trinity Hospital - St. Joseph's Addiction Services is located in Minot, North Dakota. They offer several helpful services for addiction and behavioral health to individuals who are facing mental health challenges and substance misuse conditions. They specialize in inpatient care, and their Addiction Services Unit is situated on the 4th floor. The unit contains a 33-bed facility that can provide… |
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Community Medical Services Fargo |
901 28th St S suite c, Fargo, ND 58103 |
Community Medical Services is an addiction treatment center in Fargo, North Dakota. The clinic treats opioid use disorder. and provides counseling in private and group settings. Walk-In Care in Fargo Community Medical Services offers walk-in visits and same day treatment means care can start when you need it. There's a bus stop at the 28th St and 9th Avenue intersection… |
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Ideal Option Bismarck |
1221 W Divide Ave, Ste. 202, Bismarck, ND 58501 |
Based in Bismarck, North Dakota, this is one of many Ideal Option locations. This particular facility specializes in accredited outpatient addiction treatment and provides care to clients aged 18 and older. Most commercial insurance providers are accepted including Medicaid, Medicare and Tricare. Payment plans are also an option for those eligible. Medication-Assisted Treatment (MAT) in North Dakota’s Capital Medication-assisted treatment… |
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West Central Human Service Center |
1237 W Divide Ave #5, Bismarck, ND 58501 |
Tucked right into the heart of Bismarck, North Dakota you'll find the West Central Human Service Center (WCHSC). This is a really important place for folks in a wide stretch of the state who are dealing with tough times related to their mental well-being or struggles with substance use. As part of North Dakota’s Department of Health and Human Services,… |
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Soul Solutions Recovery Center |
1801 38th St S, Fargo, ND 58103 |
Serving the community of Fargo, North Dakota, Soul Solutions Recovery Center offers a variety of outpatient addiction treatment programs for adults. You’ll choose from low intensity, intensive outpatient, day treatment, and recovery management services when you choose to enroll in this facility. This is a licensed behavioral health center that uses a recovery management model of care and invites the… |
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Good Road Recovery Center |
1308 Elbowoods Ln, Bismarck, ND 58503 |
In Bismarck, North Dakota, you'll find the Good Road Recovery Center. It's a place dedicated to helping people that are dealing with substance use or mental health disorders. The facility is run by the Three Affiliated Tribes, and their heritage is a big part of how they help. They want to guide clients and use their traditions to show how… |
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Cornerstone Addiction Services |
1705 4th Avenue Northwest, Minot, ND 58703 |
Cornerstone Addiction Services is a rehab located in Minot, North Dakota. Cornerstone Addiction Services specializes in the treatment of addiction. |
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North Dakota Adult and Teen Challenge |
1406 2nd St NW, Mandan, ND 58554 |
North Dakota Adult and Teen Challenge is a faith-based residential addiction treatment center serving the community of Mandan. This facility uses biblical principles and individualized courses to help clients gain freedom from substance use and sustain lasting recovery. Adults who are 18 years or older will stay for a minimum of 12 months. The program is broken down into four… |
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Centre Fargo Female Transitional Facility |
3501 Westrac Dr, Fargo, ND 58103 |
Located in Fargo, North Dakota, is the Central Fargo Female Transitional Facility. This is a secure rehabilitation facility that operates in partnership with different state agencies, including the Department of Corrections and Rehabilitation, the Bureau of Prisons, and Parole and Probation Services. This facility is designed to help support criminally involved and incarcerated women, providing access to different programs that… |
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Ideal Option Fargo |
3345 39th St S Ste 2, Fargo, ND 58104 |
Ideal Option Fargo can be a helpful resource for individuals in the Fargo, North Dakota, area who are struggling with substance use disorders and seeking detox services. They are a national leader in office-based medication assisted treatment (MAT) for addictions to opioids, alcohol and other substances. They offer these services on an outpatient basis, allowing you to maintain your connection… |
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North Dakota is among the most expensive states for addiction treatment, coming in 49th of the 50 states. The average full cost of care here is $64,673, before insurance. If you have a Marketplace health plan, the out-of-pocket maximum for 2026 is no more than $10,600 for an individual or $21,200 for a family. That is the most you would pay for covered, in-network services in a plan year. You can ask a program and your plan what you would pay.
What rehab costs in North Dakota
North Dakota costs: full costs put the state 49th of 50 in the affordability ranking · a state voucher pays for assessment, therapy and peer support · prices across the state run about 11% below the nation · public insurance is accepted at 42 of the 86 programs · health insurance is missing for about 7% of adults 18 to 64
North Dakota has 50+ treatment programs, and there are more ways to pay for care than you might expect. Private insurance and paying out of pocket are the most common routes, but public coverage, military benefits and low-cost options all play a part. Here is how each one works in this state.
Nearly all treatment programs in North Dakota accept self-pay, and most take private insurance. Plans differ widely in what they pay, so it helps to understand how insurance covers rehab before you call, then confirm the details with the program and your plan.
Many North Dakota treatment programs accept Medicaid. The state expanded Medicaid in January 2014, so adults ages 19 to 64 with incomes up to 138 percent of the federal poverty level can qualify. If you are enrolled, you can ask a program whether it takes your plan, including programs that offer medication-assisted treatment.
Many programs in North Dakota also work with Medicare. If Medicare is your coverage, ask a program whether it accepts your plan before you enroll.
North Dakota sits in the TRICARE West Region, where TriWest Healthcare Alliance is the contractor. If you have TRICARE, you can ask a program whether it works with TriWest. Veterans can also turn to the Fargo VA Medical Center, and addiction and mental health resources for military members and veterans can point you toward care that fits your situation.
If you are a Native American in North Dakota, the Indian Health Service's Great Plains Area Office in Aberdeen, South Dakota, provides health care in this state. It serves North Dakota, South Dakota, Nebraska and Iowa. North Dakota also has the Trenton Service Unit, a non-reservation service unit in the Great Plains Area. You can ask it about substance use services near you.
Many programs in North Dakota offer financial assistance. Some use a sliding scale based on your income, offer financing or payment plans, or work with an employee assistance program through your job. If cost is the thing holding you back, ask a program directly what it can do.
Expert insight
“It’s evident from this data that we have much work to do to help clients find and easily access the life-saving help they need.”
In my work as a psychologist, I’ve seen firsthand how social isolation, poverty, and limited mental health services can fuel the dual diagnoses crisis that my clients experience. This is especially evident in North Dakota.
According to a report by the North Dakota Health and Human Services’ Behavioral Health Division, around 21% of residents meet the criteria for a substance use disorder (SUD). However, 78% of North Dakotans who needed substance abuse treatment did not receive it within the past year.
The report also indicates that 26% of residents are currently living with mental illness and only 25% are currently seeking treatment for their condition.
Frequently asked questions
North Dakota has 50+ treatment programs, and there is a clear way in when cost is a worry. The state’s Substance Use Disorder Voucher program can help pay for screening, assessment, therapy, room and board, peer support, transportation and methadone maintenance. You qualify if you are 12 or older, your income is within 200 percent of federal poverty guidelines, and you cannot cover treatment costs yourself. A documented screening that supports the need comes first, so start there.
If you are not sure where to turn, call 211. FirstLink answers around the clock with free, confidential listening, referrals and crisis help, and North Dakota Health and Human Services points people to it. The state’s own search tool, the North Dakota Behavioral Health Program Directory, lists substance use disorder programs and other services. You can use it to find addiction treatment.
The North Dakota Department of Human Services’ Behavioral Health Division oversees substance use services in the state. It delivers care through regional behavioral health clinics, the North Dakota State Hospital and contracted providers. The division also licenses every treatment program in the state, so ask any program you consider about its license.
The state has also reached court-approved settlements with opioid manufacturers and distributors. Of that money, 85 percent goes to the State Opioid Settlement Fund and 15 percent goes directly to local governments. If your income is low, North Dakota Medicaid, run by the state’s health and human services agency, is the public coverage program to ask about.
Free and low-cost help is all across North Dakota, much of it a phone call, text or visit away. Statewide lines offer crisis support and referrals at any hour. Local clinics, nonprofits and peer programs offer counseling and recovery help at little or no cost. The state has a standing order for naloxone. Pharmacies enrolled in Medicaid can give covered over-the-counter products to eligible Medicaid members. State law also lets syringe service programs run where the health department approves a local group. If you or someone close to you is in crisis, the lines that handle suicide prevention can help right away.
North Dakota’s drug and alcohol use statistics point in two directions. The state’s drug overdose death rate sits well below the national rate of 23.1 deaths per 100,000 people in 2024. Binge drinking cuts the other way: the share of North Dakota adults who binge drank in the past month topped all three neighboring states in 2025, and the national median was 14.0 percent.
14.8
Drug overdose deaths per 100,000 people in North Dakota, 2024
18.7%
North Dakota adults who binge drank in the past 30 days, 2025
16.8%
North Dakotans 12+ with a substance use disorder in the past year, 2023-2024
80.6%
North Dakotans 12+ needing substance use treatment who did not receive it, 2024
The gap that matters most for you is treatment. Most people in North Dakota aged 12 or older who were classified as needing substance use treatment did not receive it in the past year. The national share in 2024 was 80.7 percent, nearly the same as North Dakota’s. With 50+ treatment programs across the state and efforts like the State Opioid Settlement Fund and North Dakota Syringe Service Programs, you have places to turn. South Dakota’s overdose death rate, 11.9 deaths per 100,000 people in 2024, is the one nearby rate below North Dakota’s.
Medical reviewer
Sendra Yang, PharmD, MBA
Sendra Yang received her Doctor of Pharmacy and Master of Business Administration degrees from Wingate University School of Pharmacy. She has experience in the pharmaceutical industry, pharmacy education, and clinical practice. She has also been a medical writer, editor, and…
Read bioMedical Information Professional. Read bio
Author
Olivia Pennelle
Located in Portland, OR, Olivia Pennelle (Liv) is an author, journalist & content strategist. She's the founder of Liv’s Recovery Kitchen, a popular site dedicated to providing the ingredients for a fulfilling life in recovery. Liv also co-founded the podcast…
Read bioCounselor, Expert Author, Podcaster. Read bio
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