Drug & alcohol rehab centers in Rapid City, SD

16 treatment centers in and around Rapid City, reviewed against accreditation and licensing standards. Filter by level of care, what you can pay, and who the program is built for. Below the listings: what rehab costs here and how to pay for it.

16 outpatient programs
7 inpatient rehabs
6 detox clinics

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Featured centers in South Dakota

All 16 centers in Rapid City

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Thumbnail	Name	Address	Treatment	Insurance
	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…	Outpatient	Medicaid
	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…	Outpatient
	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…	Outpatient	Medicaid Private insurance
	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.…	Detox Inpatient Outpatient	Private insurance
	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…	Detox Inpatient Outpatient	Medicaid
Overwhelmed by the list? That’s normal. Tell a specialist your situation and insurance and get two or three centers that fit, usually in one call. No obligation. Call 800-785-0495
	Behavior Management System Elk Street	350 Elk Street, Rapid City, SD 57701 Behavior Management System Elk Street, located at 350 Elk Street in Rapid City, South Dakota, is an addiction treatment provider offering a full continuum of substance use care through West River Mental Health's Full Circle program. Services include residential addiction treatment, outpatient care, an adolescent intensive outpatient program, cooccurring disorders treatment and substance use assessments. As a long standing regional…	Outpatient	Medicaid Private insurance
	Rapid City VA Clinic	3625 5th Street Suite 100, Rapid City, SD 57701 Rapid City VA Clinic, located in Rapid City, South Dakota, offers behavioral health services to Veterans. Their programming is provided on an outpatient basis. If an individual is struggling with addiction, they may need a referral to an alcohol and drug rehab facility. If dual diagnosis is present, and addiction can be treated on an outpatient basis, mental health and…	Outpatient	Private insurance
	Lifeways Rapid City	1010 9th Street Suite 2, Rapid City, SD 57701 Lifeways Rapid City is a rehab located in Rapid City, South Dakota. Lifeways Rapid City specializes in the treatment of addiction.	Outpatient	Medicaid Private insurance
	Yfs Counseling Center	202 East Adams Street, Rapid City, SD 57701 Yfs Counseling Center is a rehab located in Rapid City, South Dakota. Yfs Counseling Center specializes in the treatment of addiction.	Outpatient	Medicaid Private insurance
	Crisis Care Center Rapid City	321 Kansas City St, Rapid City, SD 57701 Crisis Care Center Rapid City, located in Rapid City, South Dakota, is an alcohol and drug rehab program that offers alcohol and drug rehab programming, mental health counseling, trauma treatment, case management, medication management, and emergency services. Their residential treatment program is for women who are pregnant or who have small children. Clients work closely with staff to treat their…	Detox Inpatient Outpatient	Private insurance
	Rapid City IHS	3200 Canyon Lake Dr, Rapid City, SD 57702 Rapid City IHS is a rehab located in Rapid City, South Dakota. Rapid City IHS specializes in the treatment of addiction.	Detox Inpatient Outpatient	Private insurance
	WellFully	22 Waterloo St, Rapid City, SD 57701 WellFully is a rehab located in Rapid City, South Dakota. WellFully specializes in the treatment of addiction.	Detox Inpatient Outpatient	Private insurance
	Behavior Management Systems	111 North Street, Rapid City, SD 57701 Behavior Management Systems is a rehab located in Rapid City, South Dakota. Behavior Management Systems specializes in the treatment of addiction.	Inpatient Outpatient	Medicaid Private insurance
	Pennington Country Care Campus Addiction Treatment	321 Kansas City Street, Rapid City, SD 57701 Pennington Country Care Campus Addiction Treatment is a rehab located in Rapid City, South Dakota. Pennington Country Care Campus Addiction Treatment specializes in the treatment of addiction.	Detox Inpatient Outpatient	Private insurance
	Lutheran Social Services	2920 Sheridan Lake Road, Rapid City, SD 57702 Lutheran Social Services is a rehab located in Rapid City, South Dakota. Lutheran Social Services specializes in the treatment of addiction.	Outpatient	Medicaid Private insurance
	Roads Outpatient Treatment Rapid City	103 East Omaha Street, Rapid City, SD 57701 Roads Outpatient Treatment Rapid City is a rehab located in Rapid City, South Dakota. Roads Outpatient Treatment Rapid City specializes in the treatment of addiction.	Outpatient

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Frequently asked questions

What to know about rehab in Rapid City

How We Rank Listings

We check listings against public licensing records and accreditation status. Then we organize the information so you can compare your treatment options based on factors that matter most:

State licensing and accreditation status
Levels of care and specialty programs offered
Payment types accepted

Rehab in Rapid City: What to Know

Rapid City is the largest city in western South Dakota and is the regional hub for Black Hills medical and behavioral health care. You'll find 16 drug and alcohol treatment providers here. These programs offer detox, residential and outpatient care for Rapid City and the surrounding rural and reservation communities.

The Pennington County Care Campus has expanded local detox and treatment capacity here. The Oyate Health Center, which is run by the Great Plains Tribal Leaders' Health Board, also provides behavioral health services for Native American residents. This reflects Rapid City's role as a service center for regional tribal nations.

Alcohol use is the most common concern among local treatment providers. More Rapid City programs address alcohol than any other substance. If you're considering alcohol use disorder treatment, you can compare providers by their level of care and specialty.

Cost of Rehab in Rapid City

You can expect detox or inpatient treatment to cost more since these involve 24/7 supervision and care. Outpatient treatment is the most common level of care here and tends to be the most affordable.

Your final cost is determined by your level of care, how long your program lasts and whether you have insurance coverage.

You can ask each facility for a direct quote and whether they offer sliding scale fees or financial assistance. You can also look into rehab scholarships to help cover your costs.

Factors that affect the cost of treatment include:

Treatment setting inpatient or outpatient

Length of stay 30, 60, or 90 days

Insurance coverage and plan network

Distance from rural Pennington County communities

Sliding-scale and financial assistance options

How to Pay for Rehab in Rapid City

Most Rapid City rehab centers accept self pay and work with private insurance. Many also work with Medicaid or offer other discount options.

The following explains how each payment type works in Rapid City.

Medicare

Medicare can cover detox and inpatient treatment for eligible older adults and people with qualifying disabilities. Your eligibility also depends on the plan and network. Treatment must be deemed medically necessary to fall under this coverage. Four local providers accept Medicare.

Medicaid

South Dakota Medicaid covers substance use disorder treatment if you're Medicaid eligible. Coverage may include counseling and medication assisted treatment for opioid use disorder. Eight Rapid City facilities accept Medicaid.

Military Benefits

Its proximity to Ellsworth Air Force Base makes Rapid City home to a sizable veteran and active duty population. Six providers here accept TRICARE. If you're a veteran you can also look into addiction and mental health resources for veterans and military families.

Insurance Coverage

Major insurance providers that are active in the area include:

Avera Health Plans
DAKOTACARE
Medica
Sanford Health Plan
UnitedHealthcare
Wellmark Blue Cross Blue Shield of South Dakota

Other Affordable and Free Options

Eight Rapid City facilities offer sliding scale fees, and eight offer financial assistance. Two even provide free treatment if you qualify. This is usually based on income or referral. It's best to ask a facility directly about eligibility and waitlists when you call.

Levels of Care Available in Rapid City

You'll find a full range of treatment levels in Rapid City. You can choose from detox to inpatient to outpatient care, depending on how much structure and supervision you need during early recovery.

Medical detox provides intensive supervision for withdrawal and is usually your first step if you're physically dependent on alcohol or drugs.

Inpatient rehab provides 24/7 residential care and structured therapy. This typically lasts several weeks and can be a good option if you need to step away from your home environment to focus on recovery.

Partial hospitalization offers structured daytime treatment if you don't need to live at a facility but still need intensive daily support.

Standard outpatient care fits around your work or family responsibilities.

Dual diagnosis programs treat substance use disorders alongside mental health conditions such as depression and anxiety.

The city's sober living home offers structured housing for when you're transitioning out of residential treatment.

Specialty Programs in Rapid City

Some rehab programs offer specialized tracks that tailor treatment to your unique needs.

Among the specialty programs offered here, young adults can find support tailored to young adult and college student substance use.

Free and Accessible Rehab Resources in Rapid City

If you can't afford private treatment or need help now, there are several free resources available.

988 Suicide & Crisis Lifeline: Call or text 988 for free, 24/7 crisis support in Pennington County.
Pennington County Care Campus: 321 Kansas City Street, Rapid City, SD 57701, a county-operated detox and treatment center.
Helpline Center: Dial 211 or call (605) 274-1400 for free referrals to local addiction and basic-needs resources.
Oyate Health Center: behavioral health services for Native American residents, operated by the Great Plains Tribal Leaders' Health Board.
SAMHSA National Helpline: call 1-800-662-4357 for free, confidential, 24/7 treatment referrals.
South Dakota Department of Social Services, Division of Behavioral Health: state resource for locating licensed, state-funded providers.

Drug & Alcohol Use Statistics in Rapid City

Pennington County's overdose death rate was 13.8 per 100,000 residents in 2024. This was lower than some South Dakota counties.

These numbers are tied to opioid use, which accounts for a growing share of overdose deaths statewide.

Sources Sources (2)

USAFacts. (2024). Drug overdose deaths in South Dakota by county.
Dakota News Now, citing CDC data. (2023). South Dakota's overdose deaths have the greatest decrease across the US in 2022.

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