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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.

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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 49–72 below; use the button on the right to filter by insurance, level of care, or substance.

Filter all 74 →
Avera Behavioral Health Hospital — Sioux Falls, SD
Verified

Avera Behavioral Health Hospital

Sioux Falls, SD · Est. 1968
Inpatient Outpatient

Avera Behavioral Health Hospital provides residential rehab and outpatient care in Sioux Falls, SD, supporting individua…

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.…

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Avera St. Luke's Hospital Behavioral Health Center - Aberdeen — Aberdeen, SD
Verified

Avera St. Luke's Hospital Behavioral Health Center - Aberdeen

Aberdeen, SD · JCAHO
Outpatient IOP

Avera St. Luke's Hospital Behavioral Health Center - Aberdeen provides residential rehab and co-occurring mental health …

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Monument Health Behavioral Health Center — Rapid City, SD
Verified

Monument Health Behavioral Health Center

Rapid City, SD · Est. 1973

Monument Health Behavioral Health Center provides residential rehab and co-occurring mental health care in Rapid City, S…

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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 ca…

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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, support…

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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…

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MWI Health - Downtown Sioux Falls — Sioux Falls, SD
Verified

MWI Health - Downtown Sioux Falls

Sioux Falls, SD · Est. 2012

Serving the Sioux Falls, SD area, MWI Health - Downtown Sioux Falls offers outpatient care designed around each client's…

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BAART Programs Sioux Falls — Sioux Falls, SD
Verified

BAART Programs Sioux Falls

Sioux Falls, SD · Est. 1977
Outpatient MAT

Serving the Sioux Falls, SD area, BAART Programs Sioux Falls offers outpatient care designed around each client's needs …

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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…

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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 menta…

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VA Black Hills Rapid City — Rapid City, SD
Verified

VA Black Hills Rapid City

Rapid City, SD · Est. 2014
Outpatient PHP

VA Black Hills Rapid City provides outpatient care in Rapid City, SD, supporting individuals and families working toward…

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L
Verified

Lutheran Social Services of SD Rapid City Area Counseling Center

Rapid City, SD

Lutheran Social Services of SD Rapid City Area Counseling Center is a treatment provider in Rapid City, SD, delivering o…

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MWI Health - Rapid City — Rapid City, SD
Verified

MWI Health - Rapid City

Rapid City, SD · Est. 2012

Located in Rapid City, SD, MWI Health - Rapid City offers outpatient care for people seeking help with substance use and…

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F
Verified

Flandreau Santee Sioux Tribe

Flandreau, SD
Outpatient MAT

Flandreau Santee Sioux Tribe is a treatment provider in Flandreau, SD, delivering co-occurring mental health and outpati…

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Black Hills Mental Health — Rapid City, SD
Verified

Black Hills Mental Health

Rapid City, SD
Outpatient PHP

Black Hills Mental Health is a treatment provider in Rapid City, SD, delivering co-occurring mental health and outpatien…

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Southeastern Directions for Life Adult Services — Sioux Falls, SD
Verified

Southeastern Directions for Life Adult Services

Sioux Falls, SD · Est. 1952

Serving the Sioux Falls, SD area, Southeastern Directions for Life Adult Services offers outpatient care designed around…

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Community Counseling Services Flandreau — Flandreau, SD
Verified

Community Counseling Services Flandreau

Flandreau, SD
Outpatient

Located in Flandreau, SD, Community Counseling Services Flandreau offers outpatient care for people seeking help with su…

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L
Verified

Lutheran Social Services of South Dakota Sioux Falls Area Counseling Center

Sioux Falls, SD · Est. 1920

Serving the Sioux Falls, SD area, Lutheran Social Services of South Dakota Sioux Falls Area Counseling Center offers res…

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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, s…

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Native Healing Program — Rapid City, SD
Verified

Native Healing Program

Rapid City, SD · Est. 1970

Native Healing Program provides outpatient care in Rapid City, SD, supporting individuals and families working toward la…

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Capital Area Counseling Services — Pierre, SD
Verified

Capital Area Counseling Services

Pierre, SD · Est. 1968
Outpatient

Serving the Pierre, SD area, Capital Area Counseling Services offers outpatient care designed around each client's needs…

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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.…

All SD → View details →
MWI Health Sioux Falls — Sioux Falls, SD
Verified

MWI Health Sioux Falls

Sioux Falls, SD · Est. 2012

Located in Sioux Falls, SD, MWI Health Sioux Falls offers outpatient care for people seeking help with substance use and…

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.

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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 · 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