Featured Rehab Centers in South Dakota
Tallgrass Recovery & Sober Living
4.8
An affordable, non-profit, 12-step based drug and alcohol recovery center in Sioux Falls, South Dakota. Offering a 30-day residential program and sober living homes, they provide a peer-driven, spiritual path to lasting sobriety for adults.
Levels of Care:
Project Recovery in Rapid City
4.9
A leading outpatient Medication-Assisted Treatment (MAT) clinic specializing in substance use recovery. They provide personalized care for adults through Suboxone and Vivitrol, combined with counseling and peer support. Accepts Medicaid and most major insurance.
Levels of Care:
Navigating Treatment Options in South Dakota
Understanding the different levels of care is the first step. South Dakota offers a full spectrum of programs to meet you where you are in your recovery journey.
Medical Detox
A safe, medically supervised process to manage withdrawal symptoms. This is often the necessary first phase before beginning a therapeutic program.
Inpatient / Residential
A highly structured, 24/7 live-in program providing an immersive, substance-free environment ideal for focusing completely on recovery without outside triggers.
Outpatient (PHP/IOP)
Flexible programs that allow you to live at home while attending scheduled therapy sessions, helping you integrate recovery skills into daily life.
This information is for educational purposes only and is not a substitute for medical advice or evaluation. If you are in crisis, call 988 or go to the nearest emergency room.
Project Recovery in Sioux Falls
5.0
A leading outpatient Medication-Assisted Treatment (MAT) clinic specializing in substance use recovery. They provide personalized care for adults through Suboxone and Vivitrol, combined with counseling and peer support. Accepts Medicaid and most major insurance.
Levels of Care:
Keystone Treatment Center
4.0
A leading South Dakota treatment center since 1973, offering detox, residential, and outpatient care for substance use and gambling addiction. Accepts Medicaid and has specialized tracks for patients.
Levels of Care:
Our Vetting Process & Ethical Promise
Your trust is our priority. We are an independent resource committed to providing accurate and ethical information. We do not engage in patient brokering, and our listings are curated based on strict criteria to ensure quality and safety.
- Licensing & Accreditation: We verify that facilities hold current state licenses and reputable accreditations (e.g., JCAHO, CARF).
- Evidence-Based Practices: We prioritize centers that use scientifically-backed therapeutic methods.
- Ethical Marketing: We ensure facilities adhere to transparent and honest marketing practices.
This information is for general educational purposes and does not imply endorsement of any specific treatment center. If you are in crisis, call 988 or go to the nearest emergency room.
Face It TOGETHER - South Dakota
5.0
A non-profit organization offering confidential, nonjudgmental peer coaching for adults impacted by addiction, including loved ones. They do not require sobriety and provide personalized support in person in Sioux Falls, or virtually anywhere. Most services are free.
Levels of Care:
Avera Addiction Care Center - Aberdeen
3.0
Part of the Avera St. Luke's Catholic hospital, this center provides comprehensive addiction treatment for adults. They offer medical detox, inpatient, residential, and outpatient programs. The 20-bed unit specializes in 12-step based, dual diagnosis care. Accepts Medicaid.
Levels of Care:
Avera Addiction Care Center - Sioux Falls
4.6
A leading provider of addiction treatment for adults. They offer medical detox, a 28-day inpatient program, and outpatient services. Specializing in dual diagnosis care within a modern setting, they utilize a 12-step foundation and evidence-based therapies.
Levels of Care:
Frequently Asked Questions
Most rehab facilities in South Dakota accept private insurance, self-pay, and sometimes offer financing options. Many also accept South Dakota Medicaid. It's best to contact the admissions department of your chosen facility to verify your insurance benefits and discuss payment plans.
Inpatient (or residential) treatment requires you to live at the facility 24/7, providing an immersive, highly structured environment. Outpatient treatment (like PHP or IOP) allows you to live at home while attending scheduled therapy sessions, offering more flexibility to maintain work or family commitments.
South Dakota offers a peaceful and focused environment for recovery, away from the hustle of larger states. With the natural beauty of the Black Hills and prairies, it provides a serene backdrop for healing, introspection, and building a strong foundation for sobriety.
You should typically bring about a week's worth of comfortable clothing, essential toiletries (alcohol-free), your ID and insurance card, and a list of important phone numbers. Most facilities will provide a detailed packing list. Leave valuables, electronics, and non-prescribed medications at home.
Use Our Full Directory
Browse all rehabs and filter by rating, level of care, and more →How to Choose a Rehab Center in South Dakota
When comparing alcohol and drug rehab centers in South Dakota, consider clinical quality, level of care, location, and practical factors like insurance coverage or out-of-pocket cost. Many facilities in Sioux Falls and Rapid City offer a full continuum of care. Use this checklist when comparing rehab centers in South Dakota so you can match the level of care to your needs.
- Level of care: Does the program offer medical detox, residential treatment, and/or outpatient care?
- Co-occurring care: Can they treat co-existing mental health conditions like depression, PTSD, or anxiety?
- Insurance & payment: Are they in-network with your health plan or do they accept SD Medicaid?
- Specialty programs: Look for tracks for teens, veterans, professionals, or gender-specific care if relevant.
This guidance is informational only and does not constitute medical advice or endorsement of any specific facility. If you are experiencing a crisis, call 988 or go to the nearest emergency room.
Addiction in South Dakota: By the Numbers
Understanding the scope of substance use in South Dakota highlights the critical need for accessible, high-quality treatment.
Over 120
Drug Overdose Deaths
Recorded in a recent 12-month period, many involving opioids. (Source: CDC)
18.1%
Adults Binge Drinking
Over 1 in 6 adults in South Dakota report excessive binge drinking. (Source: County Health Rankings)
Significant Concern
For Methamphetamine Use
South Dakota continues to face significant challenges with methamphetamine use across the state. (Source: DEA)
Statistics are for general informational use only. They may change as new public health data becomes available.