Compare 102 drug and alcohol rehab centers across South 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.
1205 East Saint James Street · Rapid City, SD 57701Rapid City, SD 57701
Rapid City · Outpatient
The Native Healing Program (NHP) provides substance abuse treatment in Rapid City, South Dakota. They specialize in recovery services for Native Americans and focus on the unique concerns and experiences they may have related to substance use. The services are…
600 West 16th Avenue South · Brookings, SD 57006Brookings, SD 57006
Brookings · Inpatient, Men
Teen Challenge of the Dakotas is a rehab center in Brookings, South Dakota. It’s a Christ-centered program for adult men 18 and older. The stay is 14 months, and you live there rather than going home each evening. Brookings Campus…
4400 West 69th Street · Sioux Falls, SD 57108Sioux Falls, SD 57108
Sioux Falls · Detox, Inpatient, Outpatient
Avera Behavioral Health Center Sioux Falls is a behavioral health hospital that accepts patients of all ages who are facing mental health concerns or substance use disorder. They’re based in Sioux Falls, South Dakota. They offer inpatient and outpatient programs…
112 N Chicago St · Hot Springs, SD 57747Hot Springs, SD 57747
Hot Springs · Outpatient
Addiction Recovery Centers of the Black Hills is an outpatient rehab in Hot Springs, South Dakota. They offer intensive outpatient treatment for adults dealing with alcohol, drugs or gambling, and it's care people attend without staying overnight. They're a non…
388 Dakota Avenue · Agency Village, SD 57262Agency Village, SD 57262
Agency Village · Inpatient, Outpatient
Located in Agency Village, South Dakota, is The Dakotah Pride Center. It’s managed by the Sisseton Wahpeton Oyate. Since 1970, this facility has been helping residents of this Native American tribe fight mental health and substance abuse disorders. For patients…
625 Flormann St · Rapid City, SD 57701Rapid City, SD 57701
Rapid City · Detox, Inpatient, Outpatient
If you’re looking for help with addiction, whether for yourself or someone you love, Project Recovery in Rapid City, South Dakota is doing something that really stands out by making treatment as approachable and down-to-earth as possible. With locations in…
620 3rd Avenue Southeast · Aberdeen, SD 57401Aberdeen, SD 57401
Aberdeen · Detox, Inpatient, Outpatient
Avera Addiction Care Center is a department of Avera at St. Luke’s Hospital. The facility is located in Aberdeen, South Dakota, and offers a full array of treatment programs for addiction and co-occurring mental health disorders. For payment, they accept…
1520 Haines Avenue Suite 6 · Rapid City, SD 57701Rapid City, SD 57701
Rapid City · Outpatient
Located in Rapid City, South Dakota is the Addiction Recovery Centers of the Black Hills. This is a treatment facility that helps men and women work through drug and alcohol addiction. They also have programs that address co occurring mental…
901 South Miller Avenue · Mitchell, SD 57301Mitchell, SD 57301
Mitchell · Detox, Inpatient, Outpatient
Stepping Stones Rehabilitation Service is a drug and alcohol rehab in the farming town of Mitchell, South Dakota. Men and women can stay onsite for treatment or join a part time program so they can keep working and caring for…
103 East Omaha Street · Rapid City, SD 57701Rapid City, SD 57701
Rapid City · Outpatient
You'll find ROADS Outpatient Treatment situated in Rapid City, South Dakota. It was established in 1986 to help the community address mental health and substance abuse disorders. ROADS accomplishes their mission by providing supportive staff, counseling and therapy. They help…
5020 S Tennis Lane Suit 4 · Sioux Falls, SD 57108Sioux Falls, SD 57108
Sioux Falls
Face it Together, located in vibrant Sioux Falls, South Dakota, is a 501(c)(3) nonprofit foundation that provides person centered coaching for individuals who struggle with substance use disorder. What stands out most to us about this organization is their compassion.…
1807 Williams Street · Sturgis, SD 57785Sturgis, SD 57785
Sturgis · Outpatient
Compass Point Outpatient (Compass Point), located in historic Sturgis, South Dakota is a licensed treatment provider for substance use dependency. They’ve been helping people with care and compassion since 1973 under the name Northern Hills Alcohol and Drug Services. Compass…
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Face it Together Sioux Falls |
5020 S Tennis Lane Suit 4, Sioux Falls, SD 57108 |
Face it Together, located in vibrant Sioux Falls, South Dakota, is a 501(c)(3) nonprofit foundation that provides person centered coaching for individuals who struggle with substance use disorder. What stands out most to us about this organization is their compassion. They understand that life is complex therefore they will not require you to be sober upon admission into their program.… |
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Avera Addiction Care Center – Aberdeen |
620 3rd Avenue Southeast, Aberdeen, SD 57401 |
Avera Addiction Care Center is a department of Avera at St. Luke’s Hospital. The facility is located in Aberdeen, South Dakota, and offers a full array of treatment programs for addiction and co-occurring mental health disorders. For payment, they accept most medical insurance as well as Medicaid. For eligible clients, they have a contract with the South Dakota Department of… |
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Teen Challenge of the Dakotas |
600 West 16th Avenue South, Brookings, SD 57006 |
Teen Challenge of the Dakotas is a rehab center in Brookings, South Dakota. It’s a Christ-centered program for adult men 18 and older. The stay is 14 months, and you live there rather than going home each evening. Brookings Campus and Downtown Teen Challenge runs those months in five phases, and the first eight months are induction and traini |
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Keystone Treatment Center |
1010 East 2nd Street, Canton, SD 57013 |
Located in the small town of Canton, South Dakota, in the central eastern corner of the state, is the Keystone Treatment Center. This is a treatment facility that supports adults working through a drug or alcohol use disorder. They have programs for young adults, veterans and military members, and Native Americans. Medically supervised detox is offered alongside residential and outpatient… |
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Addiction Recovery Centers of Black Hills |
112 N Chicago St, Hot Springs, SD 57747 |
Addiction Recovery Centers of the Black Hills is an outpatient rehab in Hot Springs, South Dakota. They offer intensive outpatient treatment for adults dealing with alcohol, drugs or gambling, and it's care people attend without staying overnight. They're a non profit that helps with community resources in the Black Hills of South Dakota, and they provide care for people who… |
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Stepping Stones |
901 South Miller Avenue, Mitchell, SD 57301 |
Stepping Stones Rehabilitation Service is a drug and alcohol rehab in the farming town of Mitchell, South Dakota. Men and women can stay onsite for treatment or join a part time program so they can keep working and caring for loved ones. Adolescents can join the part time teen recovery program. They offer a social detox service. Just Received Your… |
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Addiction Recovery Centers of Black Hills Rapid City |
1520 Haines Avenue Suite 6, Rapid City, SD 57701 |
Located in Rapid City, South Dakota is the Addiction Recovery Centers of the Black Hills. This is a treatment facility that helps men and women work through drug and alcohol addiction. They also have programs that address co occurring mental health challenges and gambling addictions. They specialize in providing intensive outpatient treatment and offer a telehealth program as well. They… |
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Native Healing Program |
1205 East Saint James Street, Rapid City, SD 57701 |
The Native Healing Program (NHP) provides substance abuse treatment in Rapid City, South Dakota. They specialize in recovery services for Native Americans and focus on the unique concerns and experiences they may have related to substance use. The services are free with proof of tribal enrollment. Healing Based on Heritage and Culture NHP embraces the traditional concepts for treatment known… |
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Roads Outpatient Treatment |
103 East Omaha Street, Rapid City, SD 57701 |
You'll find ROADS Outpatient Treatment situated in Rapid City, South Dakota. It was established in 1986 to help the community address mental health and substance abuse disorders. ROADS accomplishes their mission by providing supportive staff, counseling and therapy. They help you establish targeted goals which promote long-term recovery. Personalized Outpatient Treatment When arriving at Rhodes Outpatient Treatment the staff will… |
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Arch Residential Treatment Center |
516 West 12th Street, Sioux Falls, SD 57104 |
The Arch Residential Treatment Center is located in Sioux Falls, South Dakota and operates under the larger Carroll Institute. This facility provides a safe and supportive environment for men and women needing extensive residential care as they work through a drug, alcohol, or opioid use disorder. Reentry Program in Sioux Falls The Arch Residential Treatment Center also serves as a… |
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Avera Behavioral Health Hospital |
4400 West 69th Street, Sioux Falls, SD 57108 |
Avera Behavioral Health Center Sioux Falls is a behavioral health hospital that accepts patients of all ages who are facing mental health concerns or substance use disorder. They’re based in Sioux Falls, South Dakota. They offer inpatient and outpatient programs that help you recover from addiction and any co-occurring mental health disorders. Thorough Care for People of All Ages Something… |
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Glory House |
4000 South West Avenue, Sioux Falls, SD 57105 |
Glory House is a non-profit addiction treatment center based out of Sioux Falls, South Dakota. They've been helping people since all the way back in 1968. They work with adults who are struggling with substance use disorders and mental health challenges that are co-occurring. They offer both residential programs and outpatient treatment to suit your needs. They utilize many therapy… |
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Tallgrass Recovery |
27048 Tallgrass Avenue, Sioux Falls, SD 57108 |
Tallgrass Recovery is a drug and alcohol rehab in Sioux Falls, South Dakota. They admit men and women 18 and over, provided they are medically stable. Staff members are people in recovery, and over 80 percent of services come from volunteers in the community. Residential Care in Sioux Falls Tallgrass offers 30 nights of residential care on site. You remain… |
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Dakotah Pride Center |
388 Dakota Avenue, Agency Village, SD 57262 |
Located in Agency Village, South Dakota, is The Dakotah Pride Center. It’s managed by the Sisseton Wahpeton Oyate. Since 1970, this facility has been helping residents of this Native American tribe fight mental health and substance abuse disorders. For patients who want to join treatment, they accept Indian Health Service, self pay options and some private insurance plans. Programs Rooted… |
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Compass Point Outpatient |
1807 Williams Street, Sturgis, SD 57785 |
Compass Point Outpatient (Compass Point), located in historic Sturgis, South Dakota is a licensed treatment provider for substance use dependency. They’ve been helping people with care and compassion since 1973 under the name Northern Hills Alcohol and Drug Services. Compass Point continues to offer both inpatient and outpatient services, walking alongside each person on their path to recovery. Medically Monitored… |
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BAART Programs Sioux Falls |
2519 W 8th St, Sioux Falls, SD 57104 |
There are many BAART Programs facilities across the US, and this particular facility is based in Sioux Falls, South Dakota. Support here is available to adults struggling with addiction and substance abuse. Medicare and various other insurance plans are accepted here. Client-Focused Addiction Treatment Services in Minnehaha County If you’re struggling with addiction, the team here is committed to supporting… |
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Project Recovery |
625 Flormann St, Rapid City, SD 57701 |
If you’re looking for help with addiction, whether for yourself or someone you love, Project Recovery in Rapid City, South Dakota is doing something that really stands out by making treatment as approachable and down-to-earth as possible. With locations in both Rapid City and Sioux Falls, they’re reaching communities that often get left out when it comes to addiction care.… |
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Care campus |
321 Kansas City Street, Rapid City, SD 57701 |
Located in Rapid City, South Dakota, is the Pennington County Addiction Treatment Care Campus. This facility offers detox and residential services, along with outpatient care and ancillary programs for those struggling with addiction. DUI related treatment programs are also offered here. Through their "no wrong door" approach, you can visit any Pennington County office to learn about their addiction treatment… |
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Choices Recovery Services |
5009 South Bur Oak Place, Sioux Falls, SD 57108 |
Choices Recovery Services is an outpatient rehab in Sioux Falls, South Dakota. The program serves young adults and adults from 18 to 64. Alcohol, drug and gambling problems are treated in the community. Aftercare continues after treatment, and family involvement is included with that care. Living at Home in Treatment The intensive outpatient program at Choices lets you keep a… |
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Keystone Treatment Center - Sioux Falls |
601 S. Cliff Ave, Sioux Falls, SD 57104 |
Keystone Treatment Center is an outpatient rehab in Sioux Falls, South Dakota. They treat addiction but also compulsive gambling, and mental health concerns that occur with substance use. Is residential care in Sioux Falls? Residential treatment isn't included at the Sioux Falls center. You return home at the end of the day instead of staying overnight. Keystone offers residential care… |
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Avera St Lukes Hospital |
305 South State Street, Aberdeen, SD 57401 |
Avera Health, located in Aberdeen, South Dakota, is a behavioral health, mental health, and alcohol and drug rehab facility that provides residential treatment, partial hospitalization treatment, and addiction treatment. They treat youth, adolescents, and adults. Common conditions treated include chemical dependency, compulsive behaviors, gambling addiction, suicidal ideation, and a wide variety of psychiatric conditions. |
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VA Black Hills Health Care System VAMC |
113 Comanche Road, Fort Meade, SD 57741 |
The Fort Meade VA Medical Center is a residential and outpatient addiction treatment program in Fort Meade, South Dakota.The team here helps enrolled veterans across a five state region. Its services include an 8 week residential substance abuse program, standard outpatient and intensive outpatient SUD care, therapy, 12 Step Facilitation and CBT based relapse prevention. One of the features that… |
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Access Health and Avera Medical Group Family Health Center in Mitchell |
1900 Grassland Drive, Mitchell, SD 57301 |
You'll find Alvera Health & Alvera Medical Group Health Center near Interstate 90 in Mitchell, South Dakota. This location provides behavioral healthcare via general outpatient services to people of all ages. Their treatment plans include private evaluations for suicide risk to ensure your safety. Other Alvera locations provide emergency and inpatient programs, which you may be referred to if it's… |
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Aberdeen Area Youth Regional |
12451 South Dakota 1806, Mobridge, SD 57601 |
Great Plains Area Youth Regional Treatment Center formerly known as Aberdeen Area Youth Regional is a residential addiction treatment program in Mobridge, South Dakota operated by the Indian Health Service. The center provides Medically Monitored Intensive Inpatient Treatment for American Indian adolescents ages 13 to 17 who are enrolled members of federally recognized tribes including those needing dual diagnosis care.… |
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Sioux City VA Clinic |
380 West Anchor Drive, Dakota Dunes, SD 57049 |
Sioux City VA Clinic is a Veteran focused outpatient substance use treatment and behavioral health resource in Dakota Dunes, South Dakota operating within the VA Sioux Falls Health Care system. Its mission centers on coordinated Veteran centered care that addresses addiction within the broader context of mental health, housing, and reintegration needs. Veteran Addiction and Mental Health Programs Care at… |
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South Dakota is among the most affordable states for rehab (9th). The average full cost of care here is $56,108 before insurance. If you have a Marketplace health plan, your share can be much lower. For 2026, the out-of-pocket maximum on a Marketplace plan is no more than $10,600 for an individual or $21,200 for a family in a plan year. That cap is the most you would pay for covered, in-network services, and you can ask a program and your plan what you would pay.
South Dakota rehab cost notes
Cost notes: ninth cheapest of 50 states on addiction treatment affordability · 69 of the 102 programs can help people pay · 65 of the 102 South Dakota programs bill Medicaid · everyday costs sit about 11% under the national average · 39 of the 102 programs adjust fees to income
You have more than one way to pay for care in South Dakota's 100+ treatment programs, from private rehab insurance and Medicaid to free and low-cost options. What a program accepts varies from one to the next, so ask before you start.
Nearly all programs in the state accept self-pay, and most take private insurance. If you have a plan through work or the Marketplace, ask the program whether it is in your plan's network and what your share of the cost would be.
Many programs accept Medicaid. South Dakota expanded Medicaid through voter-approved Constitutional Amendment D. Under it, adults ages 18 to 64 with incomes up to 138 percent of the federal poverty level became eligible on July 1, 2023. If that includes you, ask a program whether it takes Medicaid.
Many treatment programs in South Dakota take Medicare. Medicare is federal, so the surest step is to ask a program directly whether it accepts your coverage.
South Dakota is one of the 26 states in the TRICARE West Region, with TriWest Healthcare Alliance as the region's contractor. Veterans can also find care through the Fort Meade VA Medical Center, the Hot Springs VA Medical Center and the Royal C. Johnson Veterans' Memorial Hospital. The state's military and veterans addiction and mental health resources can point you further.
The Bureau of Indian Affairs' Great Plains Region funds and supports 16 federally recognized tribes across North Dakota, South Dakota and Nebraska. Seven of its 12 agencies are in South Dakota, and the Flandreau Santee Sioux Tribe provides program services to its members through a self-determination contract. The Indian Health Service's Great Plains Area Office in Aberdeen works with its own units and Tribal managed Service Units to provide health care to Native Americans in North Dakota, South Dakota, Nebraska and Iowa.
Many programs offer sliding-scale fees based on what you can pay, most offer some form of financial assistance, and some offer financing or free care. You can also ask what a specific service, such as medication-assisted treatment, would cost before you start.
Expert insight
“The crisis is greater in rural communities because it often goes unnoticed.”
A close friend of mine in South Dakota struggled with prescription drug abuse involving opioids and stimulants.
This started off as pain management medication but quickly spiraled into a battle that took a serious toll on their life. The physical effects of addiction were difficult but the isolation and shame that came with it magnified the pain.
Prescription drug abuse has become a growing crisis in South Dakota. A study from the South Dakota Epidemiological Outcomes notes that deaths from overdose increased 77.8% between 2013 and 2022. There’s clearly an urgent need for stronger targeted prevention programs and rehabilitation.
Frequently asked questions
South Dakota has 100+ treatment programs, and you start close to home. The Division of Behavioral Health, part of the South Dakota Department of Social Services, contracts with accredited behavioral health providers across the state. It directs you to your local treatment agency, so a call to a provider near you is the first step. The South Dakota Behavioral Health website offers an interactive map of mental health and substance use services statewide. You can use it to see what addiction treatment looks like near you before you call.
The programs you consider answer to the state. The Office of Licensing and Accreditation, also part of the Department of Social Services, accredits the behavioral health providers that offer substance use disorder treatment and prevention programs. When you choose a program, you can ask whether it holds that accreditation.
One statewide effort ties this work together. Let’s Be Clear, run jointly by the South Dakota Department of Health and the Department of Social Services, addresses substance use disorder across the state. The state’s Medicaid program, South Dakota Medicaid, is run by the same department.
Free and low-cost help is spread across South Dakota. You can call or text a crisis line at any hour, including suicide prevention support, or visit a peer recovery group in person. The state also makes naloxone easier to get. Under a standing order from the South Dakota Departments of Health and Social Services, a pharmacist can give it without a prescription. You can ask for it if you are at risk of an opioid overdose, or for a family member or friend who is. The SD Naloxone Project trains first responders statewide and equips them with naloxone.
The gap between needing care and getting it stands out in South Dakota. Most people in the state who needed substance use treatment in the past year did not get it. The 100+ treatment programs across South Dakota, plus efforts like Let’s Be Clear, the naloxone standing order and the state’s online treatment map, give you places to start, and many programs take Medicaid. Statewide drug and alcohol use statistics give the fuller picture.
Drug overdose deaths per 100,000 people in South Dakota, 2024
Adults in South Dakota who binge drank in the past month, 2025
South Dakotans 12 and older with a substance use disorder in the past year, 2023-2024
People 12+ needing substance use treatment who did not receive it, 2024
On overdose deaths, South Dakota sits well below the national rate and below Minnesota and Iowa, though above Nebraska. Binge drinking runs the other way: adults here report it more often than the national median, though less than adults in Nebraska and Iowa.
Medical reviewer
Jillian Foglesong Stabile, MD
Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…
Read bioFamily Physician. 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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