Top 26 Alcohol & Drug Rehab Centers in North Dakota & Free Treatment Resources

Find the best addiction treatment centers in North Dakota. Browse 80+ outpatient rehabs, 40+ inpatient rehabs, and 30+ detox clinics in the state. Get the answer to common rehab FAQs including how much rehab costs in North Dakota, substance abuse statistics, and important drug laws.
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Expert Insights

I love the approach North Dakota’s governor has to behavioral health. They host an annual recovery event called Recovery Reinvented, which promotes eliminating the stigma associated with addiction. As the daughter of parents who have struggled with addiction, I’ve seen them face stigma in accessing care. Had they not persisted, they may not have gotten the life-saving treatment they needed. That’s why events like Recovery Reinvented are important to the lives of North Dakotans by reminding us that stigma kills. The governor not only recognized local recovery champions, shared success stories, but also encouraged turning advocacy into action. I think it’s a brilliant idea that they trained nearly 800 peer support specialists to help other people find recovery.

~ Olivia Pennelle

How Much Does Drug Rehab Cost in North Dakota?

North Dakota is ranked 49th nationwide in terms of addiction treatment affordability, with an average cost of drug and alcohol rehab of $64,673 (without insurance).

  • Medical detox is the most expensive, with an average cost of $159,443
  • Long-term inpatient drug rehab in North Dakota costs an average of $57,070
  • Outpatient addiction treatment in North Dakota costs an average of $9,483
  • Outpatient methadone treatment is the most affordable, with an average cost of $8,426

The cost of drug rehab in North Dakota can vary greatly depending on many factors:

Inpatient vs. outpatient rehab

Where the facility or detox center is located

Insurance plans accepted

Amenities and features (luxury vs. standard)

Length of stay

How to Find Free Addiction Treatment in North Dakota

North Dakota has many low-cost and free facilities that offer treatment to those that cannot afford higher prices.

You will find that some of the North Dakota drug rehabs are state-funded, while others require private pay or insurance coverage. A facility that is state-funded can offer free services since it receives money from the government to operate. To see a list of state-funded options in your area, visit the government website, Substance Abuse and Mental Health Services Administration (SAMHSA), and search the directory of North Dakota free rehabs.5

As of 2024, there were over 90 drug rehab facilities across the state of North Dakota. Of those treatment facilities, the following numbers reflect how many offer free drug rehab programs:

To receive free care from a state-funded agency, you will most likely have to meet some requirements, such as being a resident of North Dakota or having an income below a certain threshold.

If you do not have insurance and do not qualify for free help, you still have other options available. Many addiction treatment centers offer programs to help you pay for care. Some places have scholarships available that cover part or all the cost of a program.

You can also ask about sliding scales. A sliding scale usually takes your income into consideration when determining the rate you will pay.

Does Insurance Cover Rehab Center Costs?

Most insurance policies, whether private or government, will cover part or all the costs. Thanks to The Affordable Care Act (ACA), all state-funded insurance policies, including Medicaid and Medicare, are required to provide coverage for addiction treatment.6

To qualify for Medicaid, you must be part of an eligible group, including low-income individuals, pregnant women, children, or those receiving Supplemental Security Income (SSI).7 To qualify for Medicare, you must be an American citizen over 65 years or have a qualifying disability.8

How Common is Drug and Alcohol Use in North Dakota?

When it comes to alcohol use, residents of North Dakota report a higher average than America as a whole.

What Are Drug Laws in North Dakota?

The Good Samaritan Law: The Good Samaritan Law was passed to encourage friends, family members, and bystanders to call 911 in the event of an overdose. The law provides protection from prosecution for ingestion or possession of a substance or possession of drug paraphernalia for a maximum of three people, including the person overdosing.

Naloxone Access: According to North Dakota law, any individual (family, friends, or community member) is protected from civil or criminal liability for giving naloxone for a suspected opioid overdose.

Sentencing Alternatives: In North Dakota, judges have the option to court-order treatment services in lieu of incarceration for certain drug and alcohol-related cases. Seeking care is important and shouldn’t be hindered by barriers such as the cost or fear of losing your job. Many programs can help you afford care, and laws exist to protect your job while you receive the care you need.

There are many great options for accredited drug rehab centers in North Dakota. Help is available, contact 800-681-1058 (Info iconWho Answers?) today.

Addiction Treatment Levels of Care

Addiction treatment settings range in the level of care they provide. Depending on your needs, you may benefit from one of the following:

Detoxing is often required before entering a formal program. It involves removing drugs and alcohol from your system in a safe and comfortable manner. Medical supervision is provided in a hospital, residential facility, or outpatient clinic. This is usually the first step of recovery.

Inpatient rehab is the most intensive option. You’ll stay overnight at the facility for the duration of your treatment. You may stay at the inpatient level for weeks, months, or even a year, depending on your situation.

Partial Hospitalization Programs (PHPs) are highly supervised outpatient programs that take place in a hospital setting and provide both addiction and medical care. You’ll participate in five to seven weekly sessions, each consisting of several hours of evidence-based therapy.

Intensive Outpatient Programs (IOPs) involve many of the same evidence-based therapies and supportive services as PHPs but with less clinical and medical support. They also involve a smaller time commitment and generally focus more on group than individual therapy. You’ll likely participate in three to five weekly sessions, each consisting of several hours of therapy.

Standard outpatient is the least intensive form of addiction treatment and typically consists of group therapy and/or counseling and substance use education. You’ll likely participate in one or two sessions per week that provide up to 10 total hours of weekly care.

Aftercare provides ongoing support after a formal rehabilitation program is complete. Among these options are 12-step groups, non-step groups like SMART Recovery, ongoing therapy, and sober living homes.

Should You Travel for Drug and Alcohol Rehab in North Dakota?

How do you know if traveling to North Dakota for drug and alcohol treatment is the best choice for you? It can be difficult to conclude, but some things to help you consider are:

  • Is care offered near where you live?
  • Do you have people in North Dakota whom you want to be near during your stay?
  • Does your insurance cover care in North Dakota?
  • Would you like to attend a program away from where you live for privacy reasons?

How Do You Choose a Drug or Alcohol Rehab Center?

How do you decide as to which one is right for you? Many treatment centers conduct assessments to determine the level of care most appropriate and if you have any specialized needs. Specialized care includes care tailored to different populations such as LGBTQ, military, elderly, or religious.

Some questions to ask include:

What type of care is best for you?

What amenities does the rehab offer?

What does the success rate look like for previous patients?

What are the costs of the program, and what financial assistance is available?

Do you have specialized care needs, and does the facility or detox center provide them?

How does the treatment center respond to relapses?

Is the location convenient for you?


  1. Foundation, C. (n.d.). The opioid epidemic: Seeking solutions in North Dakota.
  2. (n.d.). 
  3. Substance Abuse and Mental Health Services Administration. (2020). North Dakota State-Specific Tables.
  4. Substance Abuse and Mental Health Services Administration. (2017). 2016-2017 National Survey on Drug Use and Health National Maps of Prevalence Estimates, by State.
  5. National Institute on Alcohol Abuse and Alcoholism. (n.d.). Drinking Levels Defined | National Institute on Alcohol Abuse and Alcoholism (NIAAA) ( National Institutes of Health.
  6. National Institute on Drug Abuse. (2018). Types of Treatment Programs.
  7. Substance Abuse and Mental Health Services Administration. (n.d.). Single State Agency Directory.
  8. (n.d.). Mental health and substance abuse health coverage options.
  9. (n.d.). Eligibility Medicaid.
  10. (n.d.). Health Insurance and Mental Health Services.
  11. National Institute on Alcohol Abuse and Alcoholism. (2021). Treatment for Alcohol Problems: Finding and Getting Help. National Institutes of Health.
  12. National Institute on Drug Abuse. (2022, March 22). Treatment and Recovery. National Institutes of Health.
  13. National Institute on Drug Abuse. (2018). How long does drug addiction treatment usually last? National Institutes of Health.
  14. National Institute on Drug Abuse. (2022, March 22). Treatment and Recovery. National Institutes of Health.
  15. Melemis, S. M. (2015, September 3). Relapse Prevention and the Five Rules of Recovery. The Yale Journal of Biology and Medicine, 88(3), 325-332.
Olivia Pennelle
Olivia Pennelle
Counselor, Expert Author, Podcaster
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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 Breaking Free: Your Recovery, Your Way. She found recovery in 2012 & her pathway is a fluid patchwork of what works for her.
Medical Reviewer
Sendra Yang, PharmD, MBA
Medical Information Professional
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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 reviewer for consumer health and medical content, including materials relating to addiction and rehabilitation.