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South Dakota directory

South Dakota Drug & Alcohol Rehab and Detox Centers

  • 39 listed centers
  • 18 cities covered
  • 2026 South Dakota Drug & Alcohol Rehab Directory

39 licensed, federally listed drug and alcohol treatment programs across 18 South Dakota cities — 5 with medical detox, 17 with inpatient or residential rehab, and 31 offering outpatient care.

Popular South Dakota cities

Addiction Treatment Center Capacity in South Dakota

Federal data set
Treatment centers
39

Federally listed

Cities covered
18

across South Dakota

Medical detox
5

withdrawal management

Inpatient / residential
17

24-hour care

Outpatient programs
31

incl. IOP

Dual diagnosis
28

co-occurring care

Live CDC85 drug overdose deaths in South Dakota for the 12 months ending April 2026, 1.2% higher than a year earlier. See national and state trends.

How people pay in South Dakota

Of the 39 South Dakota centers listed, 26 report accepting private health insurance, 11 offer a sliding fee scale, and 7 offer payment assistance — as reported to the federal treatment services survey (September 2026). Payment types only; call the center to confirm whether your coverage applies.

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36 listings mapped

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Find South Dakota Drug & Alcohol Rehab Centers

Compare addresses, phone numbers, levels of care, and reported payment options — then call the center directly.

FilterShowing all 39 centers
From our researchSee the full numbers ↓

12.8%

of centers offer detox
U.S. 19.6%

33.85

residential beds per 100k
U.S. 27.0

From our research

Detox Access and Residential Capacity in South Dakota

Detox access

5 of 39 federally listed centers in South Dakota (12.8%) report offering medically managed withdrawal, below the national share of 19.6% and 42nd of 52 states and territories. The median distance from a community with listed treatment to the nearest detox program is 27.9 miles (farther than the 7.9-mile national median). 4 of 15 measured communities are more than 50 miles from the nearest one.

Read the Detox Access Gap report →

Residential capacity

South Dakota reports 33.85 residential beds per 100,000 residents (313 beds at 13 programs) — more than the national rate of about 27.0, ranking 13th of 50. Reported occupancy was 88.2%, busier than most states (national average: 85.1%).

Read the Residential Capacity report →

Source: Treatment Locators analysis of federal facility directory and survey data. Figures describe the system as a whole, not any one center — call a center to confirm current services and openings.

State overview

Drug & Alcohol Detox and Rehab in South Dakota

If you or someone you love is struggling with drug or alcohol addiction, treatment is available in South Dakota. This directory lists 39 licensed, federally listed treatment programs across 18 South Dakota cities. Some of these programs focus on alcohol withdrawal, others on opioids, stimulants, or benzodiazepines, and many treat all of them alongside co-occurring mental health conditions.

Care in South Dakota spans the full continuum. Of the programs listed here, 5 provide medically supervised detox, 17 offer inpatient or residential rehab, 31 run standard outpatient programs, and 19 run intensive outpatient (IOP) programs. Detox is usually the first step: it stabilizes the body during withdrawal, but it is not a substitute for treatment. Most people move from detox into residential rehab or an outpatient program, where therapy, medication for addiction treatment, and relapse-prevention planning do the longer-term work.

Substance use and mental health problems frequently travel together. 28 South Dakota programs in this directory report treating co-occurring disorders such as depression, anxiety, PTSD, or bipolar disorder alongside addiction. Treating both at the same time — rather than one after the other — is the standard recommended by SAMHSA and is a reasonable question to ask any program before admission.

Many South Dakota facilities also tailor programming to specific groups. The most commonly reported specialties in the state are seniors / older adults (34 programs), adults (27 programs), and co-occurring disorders / dual diagnosis (26 programs).

Cost is the most common reason people delay treatment. Of the 39 South Dakota programs listed here, 26 report accepting private health insurance, 35 accept cash or self-payment, 11 offer a sliding fee scale based on income, and 7 report some form of payment assistance. These figures come from what each facility reported to the federal treatment services survey (September 2026), which records payment types rather than named insurance carriers. Costs and accepted plans are set by each program and change often, so call the facility directly to confirm what it charges and whether your coverage applies.

Learn more: what medical detox involves, levels of addiction care, and withdrawal symptoms and timelines.

Common questions about treatment in South Dakota

How many treatment centers are there in South Dakota?

This directory lists 39 licensed treatment programs in South Dakota, drawn from the federal treatment services record (September 2026). Of those, 5 provide medical detox, 18 offer inpatient rehab or residential treatment and 31 run outpatient treatment.

What is the difference between detox and rehab in South Dakota?

Detox manages withdrawal safely and usually lasts a few days to a week; rehab is the treatment that follows, where therapy and medication address the substance use itself. Most people move from detox into inpatient rehab or an outpatient program, and the levels of care guide explains how each step works.

How much does treatment cost in South Dakota, and does insurance cover it?

Cost depends on the level of care and how long you stay, and federal parity law requires most plans to cover addiction treatment on the same terms as other medical care. In South Dakota, 26 of the 39 listed centers report accepting private health insurance and 11 report a sliding fee scale based on income. The federal record lists payment types rather than named carriers, so call the center to confirm your insurance coverage.

How long does addiction treatment last?

Medical detox typically runs three to seven days, residential treatment commonly runs 30 to 90 days, and outpatient treatment can continue for several months. Research summarized by the National Institute on Drug Abuse finds that staying in treatment for at least 90 days across all settings is associated with better outcomes.

What happens with withdrawal symptoms?

Withdrawal symptoms depend on the substance, how much was used, and for how long, and alcohol and benzodiazepine withdrawal can be medically dangerous without supervision. Our withdrawal timeline page sets out what typically happens day by day, and anyone with a history of seizures or heavy daily drinking should speak to a clinician before stopping.

Can treatment address mental health conditions too?

Yes — programs that treat co-occurring disorders address substance use and conditions such as depression, anxiety or PTSD at the same time, which SAMHSA identifies as the recommended approach. You can filter this directory for dual diagnosis treatment to see which South Dakota programs report providing it.

Find South Dakota treatment centers by city

All 18 South Dakota cities with a listed rehab or detox center.

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