Skip to main content
Directory · South Dakota SAMHSA-verified · Updated July 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.

(833) 567-5838
Free · Confidential · 24/7 Avg. 2-min response · no email capture
On This Page
Q

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 →
R
Verified

Rapid City CBOC/Outpatient Treatment Program

Rapid City, SD · JCAHO
Outpatient MAT

Serving the Rapid City, SD area, Rapid City CBOC/Outpatient Treatment Program offers co-occurring mental health and outp…

All SD → View details →
V
Verified

VA Medical Center-Sioux Falls

Sioux Falls, SD

Located in Sioux Falls, SD, VA Medical Center-Sioux Falls offers outpatient and detox care for people seeking help with …

All SD → View details →
Avera Medical Group Behavioral Health — Sioux Falls, SD
Verified

Avera Medical Group Behavioral Health

Sioux Falls, SD · JCAHO

Serving the Sioux Falls, SD area, Avera Medical Group Behavioral Health offers outpatient care designed around each clie…

All SD → View details →
C
Verified

Community Counseling Services Outreach Servs/Hand County Memorial

Miller, SD
Outpatient

Community Counseling Services Outreach Servs/Hand County Memorial provides outpatient care in Miller, SD, supporting ind…

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 cli…

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 e…

All SD → View details →
S
Verified

Sands Freedom Center

Sioux Falls, SD
Outpatient

Sands Freedom Center provides residential rehab and co-occurring mental health care in Sioux Falls, SD, supporting indiv…

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 substa…

All SD → View details →
S
Verified

South Dakota Human Services Center

Yankton, SD
Outpatient

South Dakota Human Services Center provides co-occurring mental health care in Yankton, SD, supporting individuals and f…

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,…

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

Community Counseling Services Madison

Madison, SD
Outpatient

Community Counseling Services Madison provides outpatient care in Madison, SD, supporting individuals and families worki…

All SD → View details →
VA Black Hills Healthcare Fort Meade — Fort Meade, SD
Verified

VA Black Hills Healthcare Fort Meade

Fort Meade, SD
Outpatient PHP

VA Black Hills Healthcare Fort Meade is a treatment provider in Fort Meade, SD, delivering residential rehab and outpati…

All SD → View details →
M
Verified

Main Gate Counseling Services

Winner, SD
Outpatient

Located in Winner, SD, Main Gate Counseling Services offers co-occurring mental health and outpatient care for people se…

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 residenti…

All SD → View details →
Addiction Recovery Centers of the Black Hills — Rapid City, SD
Verified

Addiction Recovery Centers of the Black Hills

Rapid City, SD · JCAHO
Outpatient PHP

Addiction Recovery Centers of the Black Hills provides outpatient care in Rapid City, SD, supporting individuals and fam…

All SD → View details →
West River Mental Health - Spearfish — Spearfish, SD
Verified

West River Mental Health - Spearfish

Spearfish, SD

West River Mental Health - Spearfish is a treatment provider in Spearfish, SD, delivering co-occurring mental health and…

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, suppor…

All SD → View details →
Youth and Family Services Counseling Center — Rapid City, SD
Verified

Youth and Family Services Counseling Center

Rapid City, SD · Est. 1965
Outpatient

Serving the Rapid City, SD area, Youth and Family Services Counseling Center offers addiction and behavioral health care…

All SD → View details →
L
Verified

Lifeways

Rapid City, SD · Est. 2003
Inpatient Outpatient

Lifeways is a treatment provider in Rapid City, SD, delivering outpatient care with an individualized, evidence-informed…

All SD → View details →
M
Verified

Mark Bontreger

Watertown, SD
Outpatient IOP

Mark Bontreger is a treatment provider in Watertown, SD, delivering co-occurring mental health and outpatient care with …

All SD → View details →
New Dawn Enterprises — Vale, SD
Verified

New Dawn Enterprises

Vale, SD · Est. 1992
Residential

Serving the Vale, SD area, New Dawn Enterprises offers residential rehab and co-occurring mental health care designed ar…

All SD → View details →
Addiction Recovery Centers of the Black Hills — Hot Springs, SD
Verified

Addiction Recovery Centers of the Black Hills

Hot Springs, SD · JCAHO
Outpatient PHP

Addiction Recovery Centers of the Black Hills provides outpatient care in Hot Springs, SD, supporting individuals and fa…

All SD → View details →
S
Verified

Southeastern Behavioral Healthcare Counseling and Childrens Services

Sioux Falls, SD
Outpatient

Located in Sioux Falls, SD, Southeastern Behavioral Healthcare Counseling and Childrens Services offers outpatient care …

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 Spe…

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. Data updated July 2026.

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.

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

Share this guide

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.

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.

  • SAMHSA-verified directory
  • Licensed placement specialists
  • No email capture
  • Insurance check in 5 min

Call now · free · 24/7

Helpline (833) 567-5838

Avg. 2-min response · 42 CFR Part 2 privacy · we do not sell caller data.

Published by RehabFlow
SAMHSA-sourced directory · July 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 July 2026
Editorial Policy ›
21,568 SAMHSA-verified centers · updated monthly