500 North 5th Street, Hot Springs, SD 57747
12-Step Facilitation
- Residential Treatment
- Outpatient Program
- Medication-assisted Treatment (MAT)
11,500+ federally listed treatment programs · Real Options, Real Recovery
Hot Springs, South Dakota has 2 licensed treatment centers. Of those facilities, 1 offer 24-hour inpatient or residential rehab programs, 2 provide outpatient care options, and 1 provide intensive outpatient (IOP) services.

Federally listed facilities in Hot Springs, SD
Federally listed
withdrawal management
24-hour care
incl. IOP
listed in city
in South Dakota
Hot Springs, South Dakota treatment center map
2 listings mapped
2 licensed programs listed below with addresses, phone numbers, levels of care, and insurance details — compare them and call the center directly.
Showing 2 treatment centers in Hot Springs, South Dakota.
500 North 5th Street, Hot Springs, SD 57747
12-Step Facilitation
112 North Chicago Street, Hot Springs, SD 57747
12-Step Facilitation
Statewide data for South Dakota
No program in Hot Springs lists medical detox, so people here usually travel to a nearby city for withdrawal care. The figures below are for South Dakota as a whole.
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 →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.
Hot Springs has 2 listed treatment centers. These 10 centers are the closest listed options outside Hot Springs; each is located in the city shown on its listing, with the straight-line distance from Hot Springs noted below.
41 mi · Rapid City, SD
350 Elk Street, Rapid City, SD 57701
12-Step Facilitation
42 mi · Rapid City, SD
2165 Promise Road, Rapid City, SD 57701
Acamprosate
45 mi · Rapid City, SD
405 East Fairlane Drive, Rapid City, SD 57701
12-Step Facilitation
46 mi · Rapid City, SD
1010 9th Street, Suite 2, Rapid City, SD 57701
Brief Intervention
47 mi · Rapid City, SD
22 Waterloo Street, Rapid City, SD 57701
12-Step Facilitation
47 mi · Rapid City, SD
103 East Omaha Street, Rapid City, SD 57701
12-Step Facilitation
47 mi · Rapid City, SD
202 East Adams Street, Rapid City, SD 57701
Anger Management
48 mi · Rapid City, SD
1520 North Haines Avenue, Suite 6, Rapid City, SD 57701
12-Step Facilitation
48 mi · Rapid City, SD
330 Knollwood Drive, Rapid City, SD 57701
12-Step Facilitation
68 mi · Fort Meade, SD
113 Comanche Road, Fort Meade, SD 57741
Acamprosate
This directory lists 2 licensed treatment programs in Hot Springs, South Dakota, drawn from the federal treatment services record (September 2026). Of those, 1 offer inpatient rehab or residential treatment and 2 run outpatient treatment.
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.
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 Hot Springs, South Dakota, 2 of the 2 listed centers report accepting private health insurance and 1 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.
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.
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.
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 Hot Springs, South Dakota programs report providing it.
Understand your options before you call a treatment center.