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Drug & Alcohol Rehab — South Dakota

Drug Rehab Centers in South Dakota (55+ Verified Facilities)

Browse verified drug and alcohol rehab centers across South Dakota. Compare detox, inpatient, outpatient programs, and insurance options to find the right treatment near you.

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55+
Licensed Facilities
12.6
OD Deaths/100k (2023)
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Limited
Medicaid Expanded

Complete South Dakota Treatment Directory

Finding Addiction Treatment in South Dakota

Finding the right drug rehab center in South Dakota can feel overwhelming, especially when you or a loved one needs help quickly. Across the state, there are hundreds of treatment facilities offering different levels of care, from medical detox to long-term residential rehab and outpatient programs. Understanding your options is the first step toward recovery.

South Dakota offers a full spectrum of addiction treatment services, including inpatient rehab, outpatient programs (IOP/PHP), dual diagnosis treatment for co-occurring mental health conditions, and medication-assisted treatment (MAT). Whether you're dealing with opioid addiction, alcohol use, or other substance use disorders, there are programs available throughout the state that can help.

At Addiction Helpline America, we connect individuals and families with treatment centers across South Dakota. Our team helps verify insurance, check availability, and match you with programs that fit your needs. If you're not sure where to start, we're available 24/7 to guide you through the process and help you take the next step.

Types of Rehab Programs in South Dakota

Treatment centers in South Dakota offer a variety of programs designed to meet different levels of care and recovery needs. Choosing the right program depends on factors such as severity of addiction, mental health needs, and personal circumstances.

Popular Cities for Rehab in South Dakota

How to Choose the Right Rehab in South Dakota

Not all rehab centers are the same, and finding the right one can make a significant difference in recovery success. Important factors to consider include the type of treatment offered, whether the facility accepts your insurance, the level of care provided, and proximity to home.

Some individuals benefit from inpatient programs that provide full-time care, while others may prefer outpatient treatment that allows them to continue working or caring for family. If mental health is also a concern, dual diagnosis programs are essential for long-term recovery.

Get Help Finding Treatment in South Dakota

If you or a loved one needs help, you don't have to navigate this process alone. Our helpline is available 24/7 to answer questions, verify insurance, and connect you with available programs. Same-day placement options may be available.

(844) 561-0606 — Free
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Pine Meadows Recovery
Verified
Kenosha, Wisconsin
Insurance Policy
PPO | POS | EPO | HMO | Medicaid | Medicare | Humana | WPS | Private Pay
DetoxPartial HospitalizationIntensive OutpatientOutpatient ProgramSober Living
Supportive Housing OptionsComfortable Therapy SuitesGroup Therapy SessionsIndividual Counseling
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Kingdom Recovery Center
Verified
Morristown, Tennessee 37814
★★★★★
4.5(71 reviews)
Insurance Policy
PPO | POS | EPO | HMO | Medicaid | Medicare | Ambetter | Private Pay
Partial HospitalizationIntensive OutpatientOutpatient Program
Group Therapy SessionsMusic Therapy SessionsMindfulness Practice
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Simonds Recovery Centers
Verified
Granada Hills, California
★★★★★
5.0(95 reviews)
JC
Joint CommissionAccredited — independently verified standards
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Cigna | Aetna | Blue Cross Blue Shield | UnitedHealthcare | UMR | GEHA |
Medical DetoxResidentialIOPMATSober Living
Private RoomsShared RoomsTV in Every RoomYoga
Simonds Recovery Centers is a premier, Joint Commission accredited drug and alcohol rehabilitation facility located at 17810 Simonds St in the serene neighborhood of Granada Hills, Los Angeles, California. Licensed...
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Showing 55 treatment centers in South Dakota — Page 5
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Main Gate Counseling Services
Verified
Winner, SOUTH Dakota
ACC
State department of healthAccredited — independently verified standards
OutpatientCo-Occurring Mental HealthAftercare/Continuing Care
Helping individuals overcome addiction and mental health challenges requires compassionate care and professional expertise. Main Gate Counseling Services brings both to South Dakota, offering comprehensive addiction treatment and mental health...
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Avera Mckennan Behavioral Hospital
Verified
Sioux Falls, SOUTH Dakota
★★★★★
5.0(1 reviews)
JC
The Joint CommissionAccredited — independently verified standards
Serving the Sioux Falls area and beyond, Avera McKennan Behavioral Hospital stands as a trusted resource for individuals struggling with substance use disorders in South Dakota. This accredited facility brings...
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Monument Health – Monument Behavioral Health Center
Verified
Rapid City, SOUTH Dakota
★★★★★
2.0(31 reviews)
ACC
Federally Qualified Health CenterAccredited — independently verified standards
OutpatientAftercare/Continuing Care
Private or Shared RoomsAir-Conditioned Rooms
Monument Behavioral Health Center, operating under the Monument Health system in South Dakota, stands out as a comprehensive behavioral health resource dedicated to treating individuals struggling with co-occurring mental health...
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Glory House of Sioux Falls
Verified
Sioux Falls, SOUTH Dakota
★★★★★
3.3(76 reviews)
ACC
State department of healthAccredited — independently verified standards
OutpatientIntensive Outpatient Program (IOP)Day TreatmentSober LivingAftercare/Continuing Care
Bathroom EssentialsDeskPrivate or Shared RoomsAlternative Support Meetings
Serving the Sioux Falls community and surrounding areas, Glory House is a compassionate addiction treatment center dedicated to helping individuals overcome substance abuse and rebuild their lives. Located in South...
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Human Service Agency
Verified
Watertown, SOUTH Dakota
★★★★★
3.0(16 reviews)
ACC
State mental health departmentAccredited — independently verified standards
Dedicated to serving individuals struggling with substance use disorders, Human Service Agency stands as a trusted resource for comprehensive addiction treatment in South Dakota. Located in the heart of the...
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Avera Saint Lukes Hospital – Behavioral Health Center
Verified
Aberdeen, SOUTH Dakota
JC
The Joint CommissionAccredited — independently verified standards
Outpatient
Private or Shared RoomsAir-Conditioned Rooms
Comprehensive mental health and behavioral treatment is available at Avera Saint Lukes Hospital's Behavioral Health Center, serving the South Dakota community with compassionate care. Located in South Dakota, this facility...
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Community Counseling Services
Verified
Madison, SOUTH Dakota
★★★★★
3.8(4 reviews)
ACC
State mental health departmentAccredited — independently verified standards
OutpatientIntensive Outpatient Program (IOP)
Private or Shared RoomsAir-Conditioned RoomsAlternative Support Meetings
Serving South Dakota residents seeking comprehensive mental health and addiction treatment, Community Counseling Services stands as a trusted provider of evidence-based recovery solutions. Located in South Dakota, this facility has...
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Flandreau Santee Sioux Tribe
Verified
Flandreau, SOUTH Dakota
★★★★★
3.6(8 reviews)
ACC
Federally Qualified Health CenterAccredited — independently verified standards
OutpatientCo-Occurring Mental HealthAftercare/Continuing Care
Nestled in South Dakota, the Flandreau Santee Sioux Tribe operates a comprehensive addiction treatment facility dedicated to serving individuals struggling with substance abuse and co-occurring mental health conditions. This tribal...
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Tallgrass Recovery and Sober Living Homes
Verified
Sioux Falls, SOUTH Dakota
★★★★★
4.8(32 reviews)
Residential RehabCo-Occurring Mental HealthSober LivingAftercare/Continuing Care
Private or Shared RoomsAir-Conditioned RoomsArmchair or SofaAlternative Support Meetings
Nestled in South Dakota, Tallgrass Recovery and Sober Living Homes offers comprehensive addiction treatment designed to help individuals and families reclaim their lives from substance abuse. This dedicated facility combines...
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Keystone Treatment Center
Verified
Canton, SOUTH Dakota
★★★★★
4.0(75 reviews)
ACC
State department of healthAccredited — independently verified standards
OutpatientIntensive Outpatient Program (IOP)Day TreatmentOutpatient DetoxDetox
Air-Conditioned RoomsPrivate or Shared RoomsPhysical FitnessReading
Nestled in South Dakota, Keystone Treatment Center stands as a comprehensive addiction treatment resource serving individuals seeking recovery from substance abuse and co-occurring mental health challenges. This accredited facility has...
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1 … 3 4 5 6
Browse by City

Drug Rehab Centers by City in South Dakota

Browse all 20+ cities with treatment centers in South Dakota

A
Aberdeen (3)
C
Canton (1)
F
Flandreau (2)Fort Meade (1)
H
Hot Springs (2)Huron (1)
K
Kyle (1)
M
Madison (1)Miller (1)Mission (1)Mobridge (1)
P
Pierre (1)
R
Rapid City (11)
S
Sioux Falls (20)Sisseton (1)Spearfish (1)
V
Vale (1)
W
Watertown (3)Winner (1)
Y
Yankton (1)

Our Standards

How We Vet Every Rehab Center

State Licensed
Every facility is verified against state licensure databases before listing.
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CARF, Joint Commission, LegitScript, and NAATP status verified and displayed.
Insurance Verified
We show accepted insurance and offer free verification before you commit.
Clinically Reviewed
Clinical advisors review facility data against SAMHSA and state health department records.

Drug & Alcohol Crisis in South Dakota

Drug & Alcohol Addiction Treatment in South Dakota

South Dakota's Drug and Alcohol Crisis in 2024

South Dakota recorded approximately 110 overdose deaths in 2024. According to the South Dakota Department of Social Services, methamphetamine remains the state's most widespread drug problem, with illicit fentanyl rising steadily since 2022. Alcohol-related mortality affects South Dakota at rates well above the national average, with particular severity in some reservation communities.

American Indian populations on South Dakota's nine reservations — including Pine Ridge (Oglala Lakota), Rosebud (Sicangu Lakota), Cheyenne River, Standing Rock, Yankton, Crow Creek, Lower Brule, Flandreau, and Sisseton-Wahpeton — experience substance use disorder at significantly higher rates than the general population. Limited access to culturally-appropriate care, historical trauma, and socioeconomic disparities compound the crisis. Pine Ridge and Rosebud face particularly acute challenges.

South Dakota Medicaid Coverage for Rehab

South Dakota expanded Medicaid in 2023 via ballot initiative — making it the newest expansion state. Today approximately 180,000 South Dakotans are covered, including more than 50,000 who gained eligibility through expansion. SD Medicaid covers the full continuum of SUD care including detox, residential rehab, IOP, PHP, and medication-assisted treatment — typically at no cost to the member.

Private insurance plans sold in South Dakota cover addiction treatment as an essential health benefit. Indian Health Service and tribally-operated programs provide additional free care for eligible tribal members. Verify your South Dakota insurance free.

Regional Rehab Options Across South Dakota

Sioux Falls and Eastern SD: Sioux Falls rehabs anchor South Dakota's largest treatment capacity. Avera Health, Sanford Health, Keystone Treatment Center, and Face It Together all provide addiction services. This region serves eastern SD and often accepts referrals from reservations needing higher levels of care.

Rapid City and Western SD: Rapid City treatment centers include Monument Health and several private providers. This region is the primary treatment hub for residents of Pine Ridge, Rosebud, Cheyenne River, and other western reservations.

Aberdeen and Pierre: Aberdeen and Pierre provide regional access to northeast and central SD. Capital-area treatment includes state-operated Human Services Center in Yankton for higher levels of care.

Specialty Programs for South Dakota Residents

Native American populations: Indian Health Service facilities and tribally-operated programs serve all nine SD reservations. Programs integrate traditional Lakota/Dakota healing (sweat lodges, ceremonies, pipe, talking circles) with evidence-based Western treatment. Pine Ridge Hospital, Rosebud IHS, Cheyenne River IHS, and tribally-operated Sicangu Lakota Oyate Tiwahe Glu Kini Pi and similar programs are key resources.

Pregnant women: SD Medicaid covers pregnant women with extended postpartum coverage and full SUD benefits. Avera and Sanford offer perinatal SUD coordinated care.

Veterans: The VA Black Hills Health Care System (Fort Meade/Hot Springs) and the Sioux Falls VA Health Care System serve South Dakota's roughly 65,000 veterans. Ellsworth Air Force Base active-duty personnel use TRICARE.

Dual diagnosis: Integrated dual diagnosis care is available through Avera, Sanford, Monument Health, and community behavioral health centers. Rural residents access specialty care via telehealth.

Cost of Rehab in South Dakota (2024–2025)

Without insurance, outpatient programs in South Dakota typically cost $3,000–$10,000 for a full course. Residential inpatient ranges from $12,000–$28,000 for 30 days. Medical detox runs $750–$1,700 per day. SD Medicaid, Indian Health Service, and SAMHSA block grant programs provide no-cost options for qualifying residents. Call (844) 561-0606 for a free cost breakdown.

South Dakota Rehab FAQs

Do I now qualify for SD Medicaid? If you earn less than 138% of the federal poverty level, probably yes — SD expanded Medicaid in 2023. Anyone previously turned down for Medicaid should reapply. Call (844) 561-0606 for free eligibility guidance.

Can Indian Health Service cover rehab? Yes. IHS and tribally-operated programs provide free SUD care for eligible tribal members across all nine SD reservations. Several programs are nationally recognized for their integration of Lakota/Dakota traditional healing.

How do residents of Pine Ridge or Rosebud access treatment? IHS and tribal programs provide local outpatient and some residential capacity. For higher levels of care, residents typically travel to Rapid City, with Medicaid or IHS covering transportation in many cases.

Does SD have drug courts? Yes. South Dakota operates adult and DUI drug courts in multiple judicial districts as treatment alternatives to incarceration. Participants enter state-licensed treatment and are supervised through coordinated case management.

South Dakota recorded an age-adjusted drug overdose death rate of 12.6 deaths per 100,000 people in 2023, with methamphetamine, fentanyl, and prescription opioids as the primary substances involved.

According to the National Institute on Drug Abuse (NIDA), addiction is a chronic, treatable medical condition. Evidence-based treatments including MAT, CBT, and residential care have proven effective for South Dakota residents.

In South Dakota, addiction treatment demand has increased in recent years, particularly in cities like Sioux Falls, Rapid City, Aberdeen. Access to care varies by region, making it critical to verify insurance and availability before choosing a program.

South Dakota residents can access treatment across all major regions including Sioux Falls, Rapid City, and Aberdeen.

Top Cities for Drug Rehab in South Dakota

Sioux FallsRapid CityAberdeenBrookingsWatertown

How to Choose the Right Rehab in South Dakota

  • SD state licensure and CARF or Joint Commission accreditation
  • Evidence-based protocols: CBT, DBT, MAT, and dual diagnosis
  • Insurance verification before admission — we check your benefits before you commit
  • Same-day or next-day admissions for urgent situations
  • Strong aftercare planning and alumni support for lasting recovery

Legal Protections for South Dakota Residents

Good Samaritan Law: Limited in South Dakota
Call 911 in any overdose emergency — saving a life takes priority.
Naloxone (Narcan): Available Without Prescription
Naloxone is available at most pharmacies in South Dakota without a prescription. Keep it on hand — it reverses opioid overdoses.

Source: CDC NCHS, 2023 · CDC Drug Overdose Data

South Dakota Fast Facts
Overdose Death Rate
12.6 per 100,000 ↑
Leading Substances
Methamphetamine, fentanyl, and prescription opioids
Medicaid Program
South Dakota Medicaid
Medicaid Expanded
Limited — call for options
Licensed Facilities
55+ in South Dakota
State Crisis Line
1-800-920-4343
Good Samaritan Law
Limited
Naloxone OTC
Available without Rx

Verify South Dakota Medicaid

Find out in minutes if South Dakota Medicaid covers your addiction treatment — free, no obligation.

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Nadia El-Yaouti, M.Ed.
Addiction Content Specialist & Clinical Reviewer
Verified by Addiction Helpline America
Clinically Reviewed

Common Questions

Frequently Asked Questions
About Drug Rehab in South Dakota

In South Dakota, selecting the right rehab means comparing inpatient, outpatient, and detox programs. Facilities across the state offer dual diagnosis services, MAT, and aftercare planning. Proximity to cities like Sioux Falls, Rapid City, Aberdeen may guide your decision. Always verify state licensure, accreditation, and insurance coverage before choosing a program. Call (844) 561-0606 for a free personalized referral.

Rehab costs in South Dakota vary by program type. Outpatient treatment is generally less expensive, while inpatient programs average around $651/day without insurance. Some facilities provide financial aid or sliding-scale fees. South Dakota Medicaid may cover treatment at little or no cost for qualifying residents. Call (844) 561-0606 for a free cost breakdown.

Most rehab centers in South Dakota accept private insurance and South Dakota Medicaid. South Dakota has not fully expanded Medicaid, but qualifying individuals may still receive coverage. Call (844) 561-0606 to verify your benefits free.

Dual diagnosis programs in South Dakota treat both addiction and co-occurring mental health conditions like depression, anxiety, or PTSD. Services include therapy, psychiatric evaluation, and medication management. Insurance often helps offset costs. Call (844) 561-0606 to find dual diagnosis programs covered by your plan.

Many treatment centers in South Dakota offer same-day and next-day admissions, especially for medical detox and inpatient care. Call (844) 561-0606 any time — our specialists work 24/7 and can often confirm placement within hours.

South Dakota recorded an age-adjusted overdose death rate of 12.6 per 100,000 people in 2023, with methamphetamine, fentanyl, and prescription opioids as the primary substances involved. Treatment programs across the state provide detox, inpatient, outpatient, MAT, and dual diagnosis services. Call (844) 561-0606 to find help now.

Levels of Care

Addiction Treatment Programs in South Dakota

Medical Detox

Medically supervised withdrawal for alcohol, opioids, and benzodiazepines. Same-day admissions available.

Learn more

Inpatient Rehab

Residential 24/7 care — the most structured level. Programs range from 28 to 90+ days.

Learn more

PHP — Day Treatment

Intensive day programming (30+ hours/week) while returning home each evening.

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Intensive Outpatient

9–19 hours/week with flexible scheduling. Maintain work and family obligations.

Learn more

Dual Diagnosis

Integrated treatment for addiction alongside depression, anxiety, PTSD, and other conditions.

Learn more

MAT Programs

FDA-approved medications (Suboxone, Vivitrol) combined with counseling.

Learn more

More Treatment Resources

Levels of Care

Medical DetoxInpatient RehabPHP — Day TreatmentIntensive OutpatientDual DiagnosisMAT / Suboxone

By Addiction Type

Alcohol RehabOpioid TreatmentHeroin DetoxFentanyl TreatmentMeth TreatmentBenzo Detox

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Free Alcoholics Anonymous and Narcotics Anonymous meetings are available across South Dakota. Browse meetings by city, day, and type — open, closed, discussion, speaker, and more.

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South Dakota Rehab Categories

Find specialized treatment programs in South Dakota. Each category shows verified centers filtered by treatment type, population, and insurance.

Alcohol Rehab
Detox & residential alcohol treatment
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Drug Detox
Medical detox programs
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Inpatient Rehab
24/7 residential treatment
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IOP / Outpatient
Flexible outpatient programs
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Dual Diagnosis
Mental health & addiction care
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MAT / Suboxone
Medication-assisted treatment
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Opioid Rehab
Opioid & heroin treatment
View centers
Veterans Rehab
Specialized care for veterans
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LGBTQ+ Rehab
LGBTQ+ affirming programs
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Women's Rehab
Women-only treatment programs
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Men's Rehab
Men-only treatment programs
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Teen Rehab
Adolescent & teen treatment
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Sober Living
Transitional sober living homes
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Medicaid Rehab
Medicaid-accepted programs
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