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Directory · South Dakota SAMHSA-verified · Updated September 2026

Rehab Centers in South Dakota

53 SAMHSA-verified addiction treatment facilities across 8+ cities in the Midwest region. Sioux Falls alone lists 30 centers. Filter by insurance carrier, level of care, or substance — then call the program directly or our free helpline if you want help narrowing down.

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Quick answer — rehab in South Dakota

South Dakota has 53 licensed addiction treatment centers sourced from the SAMHSA federal registry. Medicaid is expanded here, covering detox, residential, IOP, and MAT programs for eligible residents. Top treatment hubs: Sioux Falls (30 centers), Huron (8 centers), Winner (2 centers), Watertown (2 centers). Filter by insurance carrier, level of care, or substance, or call (833) 567-5838 for a free placement consultation.

Top cities for treatment in South Dakota

Three to eight metros concentrate most South Dakota addiction treatment capacity. Pick a city to see its full facility list with insurance filters.

South Dakota treatment centers

All 74 verified South Dakota listings. Showing 1–24 below; use the button on the right to filter by insurance, level of care, or substance.

Filter all 74 →
Keystone Treatment Center — Canton, SD
Verified

Keystone Treatment Center

Canton, SD · Est. 1973
Outpatient IOP

Keystone Treatment Center provides residential rehab and co-occurring mental health care in Canton, SD, supporting individuals and families working toward lasting recovery. The program offers levels o…

Medicaid TRICARE +2 more
All SD → View details →
Tallgrass Recovery and Sober Living — Sioux Falls, SD
Verified

Tallgrass Recovery and Sober Living

Sioux Falls, SD · Est. 2005
Residential

Tallgrass Recovery and Sober Living provides residential rehab and co-occurring mental health care in Sioux Falls, SD, supporting individuals and families working toward lasting recovery. Care here fe…

Self-pay
All SD → View details →
Southern Plains Behavioral Health Services — Mission, SD
Verified

Southern Plains Behavioral Health Services

Mission, SD · Est. 1971
Outpatient

Southern Plains Behavioral Health Services (SPBHS) is a nonprofit organization dedicated to providing high-quality mental health care to individuals facing both short- and long-term challenges. Servin…

Medicaid TRICARE +2 more
All SD → View details →
Southern Plains Behavioral Health Services — Winner, SD
Verified

Southern Plains Behavioral Health Services

Winner, SD
Outpatient

Southern Plains Behavioral Health Services (SPBHS) is a nonprofit organization dedicated to providing high-quality mental health care to individuals facing both short- and long-term challenges. Servin…

Medicaid TRICARE +2 more
All SD → View details →
Keystone Treatment Center Outpatient Program — Sioux Falls, SD
Verified

Keystone Treatment Center Outpatient Program

Sioux Falls, SD · Est. 1973
Outpatient

Serving the Sioux Falls, SD area, Keystone Treatment Center Outpatient Program offers outpatient and detox care designed around each client's needs and stage of recovery. Care here features levels of …

Medicare Medicaid +2 more
All SD → View details →
Face It Together-South Dakota — Sioux Falls, SD
Verified

Face It Together-South Dakota

Sioux Falls, SD

Face It TOGETHER is a nonprofit organization dedicated to transforming lives affected by addiction through personalized, data-driven peer coaching. Focused on addressing substance use disorders and su…

All SD → View details →
Volunteers of America Dakotas — Sioux Falls, SD
Verified

Volunteers of America Dakotas

Sioux Falls, SD · Est. 1920
Outpatient

Volunteers of America Dakotas provides residential rehab and co-occurring mental health care in Sioux Falls, SD, supporting individuals and families working toward lasting recovery. The program offers…

Medicare Medicaid +3 more
All SD → View details →
Khiron Clinics - Outpatient Treatment — Sioux Falls, SD
Verified

Khiron Clinics - Outpatient Treatment

Sioux Falls, SD · Est. 2011
Outpatient IOP

Khiron Clinics - Outpatient Treatment provides co-occurring mental health and outpatient care in Sioux Falls, SD, supporting individuals and families working toward lasting recovery. Care here feature…

Medicaid TRICARE +2 more
All SD → View details →
Lutheran Social Services of SD Watertown Area Counseling Center — Watertown, SD
Verified

Lutheran Social Services of SD Watertown Area Counseling Center

Watertown, SD

Lutheran Social Services (LSS) provides a wide range of support services to help individuals navigate life’s challenges. From behavioral health counseling to financial guidance and childcare services,…

All SD → View details →
Lutheran Social Services of SD Summit Oaks Center — Sioux Falls, SD
Verified

Lutheran Social Services of SD Summit Oaks Center

Sioux Falls, SD

Lutheran Social Services (LSS) provides a wide range of support services to help individuals navigate life’s challenges. From behavioral health counseling to financial guidance and childcare services,…

All SD → View details →
Lutheran Social Services of SD Canyon Hills Center — Spearfish, SD
Verified

Lutheran Social Services of SD Canyon Hills Center

Spearfish, SD · Est. 1993

Lutheran Social Services of SD Canyon Hills Center provides residential rehab and co-occurring mental health care in Spearfish, SD, supporting individuals and families working toward lasting recovery.…

All SD → View details →
Carroll Institute Outpatient Alcohol and Drug Center — Sioux Falls, SD
Verified

Carroll Institute Outpatient Alcohol and Drug Center

Sioux Falls, SD · Est. 1971
Outpatient

Carroll Institute Outpatient Alcohol and Drug Center provides outpatient care in Sioux Falls, SD, supporting individuals and families working toward lasting recovery. The facility provides levels of c…

Medicaid
All SD → View details →
Pennington County Care Campus — Rapid City, SD
Verified

Pennington County Care Campus

Rapid City, SD · Est. 2015
Outpatient PHP

Serving the Rapid City, SD area, Pennington County Care Campus offers residential rehab and detox care designed around each client's needs and stage of recovery. Care here features levels of care incl…

Medicaid TRICARE +2 more
All SD → View details →
Community Counseling Services — SE Huron, SD
Verified

Community Counseling Services

SE Huron, SD · Est. 1957
Outpatient PHP

Located in SE Huron, SD, Community Counseling Services offers outpatient care for people seeking help with substance use and related challenges. The program offers levels of care including outpatient …

Medicare Medicaid +3 more
All SD → View details →
Avera Addiction Care Center — Sioux Falls, SD
Verified

Avera Addiction Care Center

Sioux Falls, SD · JCAHO

Serving the Sioux Falls, SD area, Avera Addiction Care Center offers residential rehab and co-occurring mental health care designed around each client's needs and stage of recovery. The program offers…

All SD → View details →
Glory House of Sioux Falls — Sioux Falls, SD
Verified

Glory House of Sioux Falls

Sioux Falls, SD · Est. 1968
Outpatient

Located in Sioux Falls, SD, Glory House of Sioux Falls offers residential rehab care for people seeking help with substance use and related challenges. The facility provides levels of care including r…

Medicaid Self-pay
All SD → View details →
West River Mental Health - Full Circle Residential — Rapid City, SD
Verified

West River Mental Health - Full Circle Residential

Rapid City, SD · Est. 1948

Serving the Rapid City, SD area, West River Mental Health - Full Circle Residential offers residential rehab care designed around each client's needs and stage of recovery. The program offers levels o…

All SD → View details →
Sisseton Wahpeton Oyate Dakota Pride Center — Sisseton, SD
Verified

Sisseton Wahpeton Oyate Dakota Pride Center

Sisseton, SD
Outpatient Residential IOP

Sisseton Wahpeton Oyate Dakota Pride Center provides residential rehab care in Sisseton, SD, supporting individuals and families working toward lasting recovery. The program offers levels of care incl…

Private insurance Self-pay +1 more
All SD → View details →
Anpetu Luta Otipi/Kyle Campus Comprehensive Substance Abuse Program — Kyle, SD
Verified

Anpetu Luta Otipi/Kyle Campus Comprehensive Substance Abuse Program

Kyle, SD · Est. 1980
Outpatient Residential Detox

Anpetu Luta Otipi/Kyle Campus Comprehensive Substance Abuse Program provides residential rehab and outpatient care in Kyle, SD, supporting individuals and families working toward lasting recovery. Car…

Self-pay
All SD → View details →
Our Home Inc Rediscovery Drug & Alcohol Treatment — Huron, SD
Verified

Our Home Inc Rediscovery Drug & Alcohol Treatment

Huron, SD · Est. 1972
Outpatient

Located in Huron, SD, Our Home Inc Rediscovery Drug & Alcohol Treatment offers residential rehab and co-occurring mental health care for people seeking help with substance use and related challenges. …

Self-pay
All SD → View details →
Lewis and Clark Behavioral Health Services — Yankton, SD
Verified

Lewis and Clark Behavioral Health Services

Yankton, SD · Est. 1973

Serving the Yankton, SD area, Lewis and Clark Behavioral Health Services offers outpatient care designed around each client's needs and stage of recovery. Care here features levels of care including o…

All SD → View details →
Community Counseling Services Howard — Howard, SD
Verified

Community Counseling Services Howard

Howard, SD
Outpatient

Community Counseling Services Howard provides outpatient care in Howard, SD, supporting individuals and families working toward lasting recovery. The program offers levels of care including outpatient…

Medicare Medicaid +3 more
All SD → View details →
Action for the Betterment of Our Community — Sturgis, SD
Verified

Action for the Betterment of Our Community

Sturgis, SD
Outpatient

Action for the Betterment of Our Community is a treatment provider in Sturgis, SD, delivering co-occurring mental health and outpatient care with an individualized, evidence-informed approach. The fac…

Medicaid Self-pay
All SD → View details →
Childrens Home Society of SD Sioux Falls Childrens Home — Sioux Falls, SD
Verified

Childrens Home Society of SD Sioux Falls Childrens Home

Sioux Falls, SD
Residential

Childrens Home Society of SD Sioux Falls Childrens Home is a treatment provider in Sioux Falls, SD, delivering residential rehab care with an individualized, evidence-informed approach. Care here feat…

Medicaid
All SD → View details →
MHPAEA parity insurance coverage
Under MHPAEA, most commercial plans in South Dakota cover addiction treatment at parity with medical care.

Insurance coverage in South Dakota

Medicaid Expanded under ACA

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), commercial insurers in South Dakota must cover addiction treatment at parity with medical care. Because South Dakota expanded Medicaid under the ACA, residents at or below 138% of the federal poverty line have broad coverage for detox, residential, outpatient, and MAT programs.

Filter centers by specific carrier to see in-network options:

Typical costs without insurance

Five self-pay ranges map to the ASAM care levels — from $1,000/month outpatient to $80,000/month luxury residential. South Dakota programs cluster toward the upper end in major metros and the lower end in rural areas. Sliding-scale options are available in roughly 15% of listings.

Level of care Typical range
Outpatient$1,000–$3,000/month
IOP / PHP$3,500–$10,000/month
30-day residential$5,000–$20,000
90-day inpatient$12,000–$60,000
Luxury residential$30,000–$80,000/mo

South Dakota policy & overdose data

Four public-health indicators that directly affect treatment access and overdose risk in South Dakota: overdose rate, substance use prevalence, naloxone availability, and Good Samaritan legal protection. Reviewed September 2026; overdose figures reflect the most recent finalized state data.

Overdose rate
12.8 /100K

Rank #50 of 50. 90 opioid deaths in 2022.

SUD prevalence
5.4%

Adults with substance use disorder (NSDUH 2023).

Naloxone access
pharmacist prescribing

Free from pharmacies, health departments, and harm-reduction orgs.

Good Samaritan Law
Yes

Legal protection when calling 911 during overdose.

In crisis? Help is immediate.

Immediate danger: call 911. Suicide or mental-health emergency: dial or text 988. Free SAMHSA treatment referrals 24/7: 1-800-662-HELP (4357). Placement help: (833) 567-5838.

Support at every stage of treatment in South Dakota

Getting into a program is one step of a longer arc. These guides cover what happens before admission, how families can help, and what keeps recovery going after discharge.

Admission & what to expect

Intake assessment, medical screening, the first 72 hours, phone rules, and a typical day in treatment — knowing the sequence lowers the fear of starting.

Family resources

If your loved one in South Dakota refuses help, evidence-based approaches like CRAFT engage 64–74% of treatment-refusing people — far more than confrontation.

Aftercare & staying sober

The transition home is the highest-relapse window. Aftercare planning, sober living, and knowing the relapse warning signs measurably improve long-term outcomes.

How to get started in South Dakota

Three steps separate "I need help" from "I’m in a program." Most placements finish step three within 24–72 hours — faster with our helpline.

1

Identify the right level of care

Two questions sort it: can you stop safely for 24 hours without medical help (if no, start with medical detox), and is home stable (if no, residential; if yes, outpatient or IOP).

2

Verify your insurance coverage

Under MHPAEA, commercial plans cover addiction care at parity with medical. Use the form below for a 5-minute confidential benefits check, or call us directly.

3

Contact a center & admit

Pick a facility from the listing above or let a placement specialist narrow down 53 options by your insurance, location, and preferred level of care — free, confidential.

Free insurance benefits check

A licensed placement specialist will verify in-network options in South Dakota, typical out-of-pocket costs, and level-of-care eligibility. Results in under 10 minutes.

No email collected. Your answers help the specialist shortlist centers faster — they’re not stored or shared.

Finding treatment in South Dakota

All 53 facilities listed above are pulled from the federal SAMHSA Behavioral Health Treatment Services Locator, which every licensed addiction and mental-health program must report to. We sync the roster monthly, cross-check contact numbers quarterly, and drop facilities that close, disconnect, or leave the SAMHSA registry within a single sync cycle. Each listing carries the same three baseline checks: the center is active in SAMHSA, its phone number answered on our last call, and its level-of-care and insurance tags mirror what the facility self-reports federally.

The right level of care depends on two clinical variables placement specialists assess first: withdrawal severity and home-environment stability. If alcohol, benzodiazepines, or opioids have been used daily in the past month, medical detox is usually required before any other step — withdrawal from those three classes can be dangerous without supervision. If the home environment is supportive, outpatient or IOP usually covers it. If home is chaotic or actively triggering, residential makes the rest of treatment possible by removing the immediate access problem.

How South Dakota Medicaid handles rehab

Because South Dakota expanded Medicaid under the Affordable Care Act, adults earning at or below 138% of the federal poverty line qualify automatically. Coverage includes detox, residential, PHP/IOP, standard outpatient, and MAT (methadone, buprenorphine, naltrexone). Filter the directory by Medicaid to see centers in the South Dakota provider network, or call (833) 567-5838 for a free, zero-commitment benefits check.

What to check on any South Dakota facility

Three questions separate legitimate programs from pay-to-play marketers. First, is the center accredited by JCAHO or CARF? Both are national bodies that audit clinical protocols, medication handling, and patient outcomes — accreditation is not required by law but is the strongest non-government quality signal. Second, does the center employ licensed clinicians (LCSW, LMFT, LPC, LADC, MD) rather than only "recovery coaches"? Third, does the center disclose outcomes data — completion rates, 30/90/365-day sobriety rates, readmission rates? For independent benchmarks by treatment type, review NIDA’s research-based principles.

Sources & methodology

  1. SAMHSA — Behavioral Health Treatment Services Locator. findtreatment.gov. Primary source for facility records (accessed September 2026).
  2. SAMHSA — 2023 National Survey on Drug Use and Health (NSDUH). Overdose rates, SUD prevalence.
  3. CDC — WONDER database. Opioid death counts.
  4. Kaiser Family Foundation — Medicaid expansion tracker, state-by-state policy data.
  5. Mental Health Parity and Addiction Equity Act (MHPAEA) — 42 U.S.C. § 300gg-26. U.S. Department of Labor summary.

Last verified September 2026. Directory sync: monthly. This page is informational and not a substitute for professional medical advice. Always call 911 in an emergency.

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RehabFlow catalog data

What our directory data shows

These figures come from our own catalog of 21,568 U.S. treatment facilities across 54 states and territories and 4,542 cities — counted directly from the listings on this site, not quoted from another source.

21,568
facilities in the catalog, each with its own listing page
4,836
list Joint Commission accreditation (22% of the catalog)
54
states & territories covered, 4,542 cities

Levels of care available in this state

Of the 74 facilities we list here across 24 cities:

28
Residential Rehab
22
Co-Occurring Mental Health
52
Outpatient
3
Sober Living
5
Detox

How we counted — and what we do not publish

Method: counts are computed directly from the 21,568 facility listings in the RehabFlow catalog, which are built from SAMHSA-sourced facility records plus each program’s own published service list. A facility is counted once per category regardless of how many locations it operates. Figures are recalculated daily, so they move as the catalog is updated. State counts reflect the facilities we list in this state and are recalculated as listings are added or updated.

What we deliberately do not publish: we do not report percentages of facilities by insurance carrier. Carrier fields in bulk facility records are self-reported and frequently list every major insurer, which would make any “X% accept this plan” figure misleading. Insurance acceptance changes contract by contract, so it has to be verified per facility — call the program or (833) 567-5838 and we will check it for you.

FAQ — rehab in South Dakota

How many rehab centers are in South Dakota?
South Dakota has 53 licensed treatment facilities serving a population of 919,000. That is approximately 5.8 facilities per 100,000 residents. Every listing is sourced monthly from the SAMHSA Behavioral Health Treatment Services Locator and re-verified quarterly.
Does South Dakota Medicaid cover rehab?
South Dakota expanded Medicaid under the Affordable Care Act. Residents at or below 138% of the federal poverty line have broad coverage for detox, residential, IOP, outpatient, and MAT programs. Filter by Medicaid in our directory to find in-network centers, or call (833) 567-5838 for a free benefits check.
What is the overdose rate in South Dakota?
South Dakota has an overdose rate of 12.8 deaths per 100,000 residents, ranking #50 of 50 states. In 2022, the state reported 90 opioid-related deaths. Substance use disorder prevalence among adults is 5.4% (NSDUH 2023). Fentanyl now accounts for the majority of opioid deaths nationwide. Carry naloxone — it is available in most pharmacies without prescription.
What are the top cities for rehab in South Dakota?
The top cities for addiction treatment in South Dakota by facility count are Sioux Falls (30 centers), Huron (8 centers), Winner (2 centers), Watertown (2 centers). Each city page includes the full facility listing with insurance filters and level-of-care options. Click any city above or call (833) 567-5838 for a shortlist tailored to your location.
Does South Dakota have a Good Samaritan Law?
Yes — South Dakota has enacted a Good Samaritan Law that shields bystanders from prosecution for minor drug-possession offenses when they call 911 during an overdose. Keep naloxone (Narcan) on hand if someone close is using. Call (833) 567-5838 if you need help finding treatment now.
How to find free rehab in South Dakota?
Free and low-cost treatment in South Dakota: state-funded programs, SAMHSA grant-funded centers, expanded Medicaid coverage, sliding-scale nonprofits, and tribal health programs. Call the SAMHSA National Helpline (1-800-662-HELP) for free referrals, or (833) 567-5838 for a personalized shortlist.
How much does rehab cost in South Dakota without insurance?
Typical self-pay in South Dakota: outpatient $1,000–$3,000/month, 30-day residential $5,000–$20,000, 90-day inpatient $12,000–$60,000, luxury residential $30,000–$80,000/month. Sliding-scale options are available in roughly 15% of listings. Call (833) 567-5838 for cost guidance specific to your situation.

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RehabFlow Placement Helpline

Need help narrowing down South Dakota options?

Free, confidential, 24/7. A licensed placement specialist will filter South Dakota centers by your insurance, preferred level of care, and location in under 10 minutes.

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Published by RehabFlow
SAMHSA-sourced directory · September 2026

Listings are sourced from the SAMHSA Behavioral Health Treatment Services Locator and cross-checked against public CDC and NIDA data. This page is informational, not medical advice — see our editorial policy for how we verify and update facts.

SAMHSA-verified data
Clinically reviewed
Updated September 2026
Editorial Policy ›
21,568 SAMHSA-verified centers · updated monthly