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Directory · South Dakota SAMHSA-verified · Updated May 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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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 53 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 53 →
R
Verified

Rapid City CBOC/Outpatient Treatment Program

Rapid City, SD · JCAHO
Outpatient MAT

Integrative outpatient care with trauma-focused approach for addiction, mental health, and co-occurring conditions like …

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C
Verified

Community Counseling Services Outreach Servs/Hand County Memorial

Huron, SD
Outpatient

A community mental health center offering outpatient services for children, adolescents, adults, and seniors with variou…

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F
Verified

First Step Counseling

Sioux Falls, SD
Outpatient IOP

A private outpatient center offering individual and group counseling, comprehensive substance use assessments, and speci…

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S
Verified

Sands Freedom Center

Sioux Falls, SD
Outpatient
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A
Verified

Abbott House Mental Health Clinic

Mitchell, SD
Residential

Integrative outpatient center for mental health and addiction treatment with group therapy, CBT, trauma support, and com…

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Glory House of Sioux Falls — Sioux Falls, SD
Verified

Glory House of Sioux Falls

Sioux Falls, SD · Est. 1968
Outpatient

Glory House empowers clients with addiction, mental health concerns, and lack of life skills through Christian compassio…

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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,…

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Community Counseling Services Madison — Huron, SD
Verified

Community Counseling Services Madison

Huron, SD
Outpatient

Community Counseling Services Madison provides outpatient care for depression, anxiety, and addiction. They offer specia…

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ARTS Adult Outpatient Treatment Specialized Services — Sioux Falls, SD
Verified

ARTS Adult Outpatient Treatment Specialized Services

Sioux Falls, SD · Est. 1972
Outpatient IOP

ARTS, short for Addiction Research and Treatment Services, is part of the University of Colorado’s Department of Psychia…

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ARTS Adult Outpatient Treatment Parkside Clinic — Sioux Falls, SD
Verified

ARTS Adult Outpatient Treatment Parkside Clinic

Sioux Falls, SD · Est. 1972
Outpatient IOP

ARTS, short for Addiction Research and Treatment Services, is part of the University of Colorado’s Department of Psychia…

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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

The Children’s Home Society of South Dakota - Sioux Falls Children's Home provides individualized residential treatment …

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MFI Riverside Outpatient Treatment Center — Sioux Falls, SD
Verified

MFI Riverside Outpatient Treatment Center

Sioux Falls, SD · Est. 1972
Outpatient IOP

MFI Recovery Riverside Outpatient Treatment Center offers treatment for men, women, and teens with substance use and co-…

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F
Verified

Felton Institute Deaf Community Counseling Services

Huron, SD
Outpatient

An integrative mental health center providing therapy, medication management, housing services, and support for all ages…

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Khiron Clinics - Outpatient Treatment — Sioux Falls, SD
Verified

Khiron Clinics - Outpatient Treatment

Sioux Falls, SD · Est. 2011
Outpatient IOP

Khiron Clinics helps clients make sense of what is behind their mental and physical health issues, and together they fin…

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F
Verified

First Step Counseling

Sioux Falls, SD
Outpatient IOP

A private outpatient center offering comprehensive care for opioid use disorder clients with medication, therapy, and af…

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M
Verified

MSVS Community Counseling Services

Huron, SD
Outpatient
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M
Verified

Mark Bontreger

Watertown, SD
Outpatient IOP
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New Dawn Enterprises — Vale, SD
Verified

New Dawn Enterprises

Vale, SD · Est. 1992
Residential

New Dawn Center provides hope and healing for adult men overcoming substance use disorders. As an ASAM Level 3.1 facilit…

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S
Verified

Southeastern Behavioral Healthcare Counseling and Childrens Services

Sioux Falls, SD
Outpatient
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MFI Hemet Outpatient Treatment Center — Sioux Falls, SD
Verified

MFI Hemet Outpatient Treatment Center

Sioux Falls, SD · Est. 1972
Outpatient IOP

MFI Recovery Hemet Outpatient Treatment Center offers treatment for men, women, and teens with substance use and co-occu…

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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

Anpetu Luta Otipi is a leading addiction treatment center serving the Oglala Sioux Tribe. They provide comprehensive ser…

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Carroll Institute - The Arch — Sioux Falls, SD
Verified

Carroll Institute - The Arch

Sioux Falls, SD · Est. 1971

Set in Sioux Falls, SD, The Carroll Institute helps adults, adolescents, children, couples, and families with mental hea…

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Counseling Resources — Sioux Falls, SD
Verified

Counseling Resources

Sioux Falls, SD · Est. 1992
Outpatient

Counseling Resources in Sioux Falls specializes in treating substance use, mental health, and co-occurring disorders. Es…

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Sisseton Wahpeton Oyate Dakota Pride Center — Sisseton, SD
Verified

Sisseton Wahpeton Oyate Dakota Pride Center

Sisseton, SD
Outpatient Residential

The Dakotah Pride Center is committed to delivering holistic care that integrates individualized treatment based on the …

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