7 Best Rehab Centers In South Dakota (2026)

Updated on February 4, 2026

Residents of South Dakota can seek treatment for addiction at an inpatient rehab center in the state. Additional treatment options include intensive outpatient programs, detox, and behavioral therapy.

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The following is a list of criteria we use when selecting treatment centers:

  • State Licensure And National Accreditation
  • Exceptional Google And Other User-Generated Reviews
  • Unique Programming And Offerings
  • Years In Operation
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South Dakota operates treatment facilities across the state serving residents in cities like Sioux Falls and Rapid City, Native American reservations, and isolated rural towns throughout the plains. Treatment centers address substance problems affecting South Dakotans including methamphetamine addiction, alcohol abuse, opioid dependence, and marijuana use across both tribal and non-tribal populations.

Programs throughout South Dakota offer services including detoxification, inpatient treatment, outpatient counseling, and recovery maintenance. Providers understand challenges specific to South Dakota including extreme geographic isolation, severe weather limiting travel, high substance use rates on some reservations, and limited healthcare infrastructure outside major cities.

List Of Top Rehab Centers In South Dakota

The following substance abuse treatment programs in South Dakota were selected for this list based on specific criteria.

The alcohol and drug addiction treatment programs below may be:

  • accredited
  • certified
  • reviewed positively on Google
  • backed by client testimonials
  • in partnership with valued organizations
Disclosure: These facilities are selected by our editorial team based on independent research. This list includes some of the top-rated options but is not exhaustive. Learn more about our criteria.

Paid advertisements may appear on this page and are always clearly identified.

Aberdeen, South Dakota

#1 Avera Behavioral Health

Avera Behavioral Health offers a 12-step-based drug rehab program in Aberdeen, SD, with a range of treatment options available. Residential treatment for adults, adolescents, and seniors are among the options available. Adult residential programs take place at the facility’s Sioux Falls and Aberdeen locations, and youth residential services are offered in Sioux Falls only. Both care centers are located inside Avera St. Luke’s Hospital. These programs are based on the 12 steps of Alcoholics Anonymous, Narcotics Anonymous, and Gamblers Anonymous.

Avera provides specialized services such as a family program to educate family members and help them establish healthier relationships. There is also a two-week relapse prevention program for those who are having difficulty maintaining sobriety or abstinence. Additional services include early intervention groups, pain management, employee assistance programs (EAPs), and more.

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Avera Behavioral Health offers a 12-step-based drug rehab program in Aberdeen, SD, with a range of treatment options available. Residential treatment for adults, adolescents, and seniors are among the options available. Adult residential programs take place at the facility’s Sioux Falls and Aberdeen locations, and youth residential services are offered in Sioux Falls only. Both care centers are located inside Avera St. Luke’s Hospital. These programs are based on the 12 steps of Alcoholics Anonymous, Narcotics Anonymous, and Gamblers Anonymous.

Avera provides specialized services such as a family program to educate family members and help them establish healthier relationships. There is also a two-week relapse prevention program for those who are having difficulty maintaining sobriety or abstinence. Additional services include early intervention groups, pain management, employee assistance programs (EAPs), and more.



  • Joint Commission accreditation
  • Substance Abuse and Mental Health Services Administration (SAMHSA) certification
  • 3-star Google rating
  • state licensure
  • evidence-based treatment
  • residential treatment
  • inpatient treatment
  • detox
  • intensive outpatient program (IOP)
  • outpatient program (OP)
  • aftercare
  • individual therapy
  • group therapy
  • family therapy
  • dual diagnosis treatment
  • cognitive behavioral therapy (CBT)
  • dialectical behavior therapy (DBT)
  • eye movement desensitization and reprocessing (EMDR)
  • trauma-informed therapy
  • 12-step support groups
  • relapse prevention
  • private health insurance
  • Medicaid
  • Medicare
  • TRICARE
  • self-pay

Sturgis, South Dakota

#2 Compass Point Inpatient

Compass Point is a substance abuse treatment facility that offers a number of rehab programs in Sturgis, SD, including short-term inpatient treatment and intensive outpatient services. This facility offers specialized care for adolescents in need of life skills education and people with co-occurring mental health disorders.

Founded in 1973 as Northern Hills Alcohol and Drug Services, Compass Point provides clients with individualized, comprehensive treatment and education. Additionally, 63% of the counselors are working a program of recovery themselves and can relate firsthand to their clients’ experiences. Treatment is provided regardless of the client’s ability to pay.

Show More

Compass Point is a substance abuse treatment facility that offers a number of rehab programs in Sturgis, SD, including short-term inpatient treatment and intensive outpatient services. This facility offers specialized care for adolescents in need of life skills education and people with co-occurring mental health disorders.

Founded in 1973 as Northern Hills Alcohol and Drug Services, Compass Point provides clients with individualized, comprehensive treatment and education. Additionally, 63% of the counselors are working a program of recovery themselves and can relate firsthand to their clients’ experiences. Treatment is provided regardless of the client’s ability to pay.

In addition to substance abuse treatment, the facility offers drug testing for companies (excluding the Department of Transportation), employment and pre-employment drug testing, cognitive behavioral intervention for substance abuse (CBISA), and more.



  • state licensure
  • licensed staff
  • 3.7-star Google rating
  • residential treatment
  • inpatient treatment
  • intensive outpatient program (IOP)
  • aftercare
  • individual therapy
  • group therapy
  • family therapy
  • dual diagnosis treatment
  • cognitive behavioral therapy (CBT)
  • moral reconation therapy (MRT)
  • 12-step support groups
  • private health insurance
  • Medicaid
  • self-pay
  • sliding fee scale

Sisseton, South Dakota

#3 Dakotah Pride Center

Dakotah Pride Center is a 12-bed inpatient drug rehab center that offers both inpatient programs and outpatient services for people with substance use disorders. Preference for treatment is given to American Indians seeking help. Both adult and adolescent rehab programs are available, with the facility serving adolescent clients ages 11 to 17.

To be considered eligible for treatment, clients must meet the DSM-5 diagnostic criteria for substance abuse/dependence. Clients must be 72 hours drug- or alcohol-free prior to admission and not in need of medical detoxification services. There is no charge for anyone who is eligible for Indian Health Service (IHS) support, but all other clients must use private health insurance or self-pay.

Show More

Dakotah Pride Center is a 12-bed inpatient drug rehab center that offers both inpatient programs and outpatient services for people with substance use disorders. Preference for treatment is given to American Indians seeking help. Both adult and adolescent rehab programs are available, with the facility serving adolescent clients ages 11 to 17.

To be considered eligible for treatment, clients must meet the DSM-5 diagnostic criteria for substance abuse/dependence. Clients must be 72 hours drug- or alcohol-free prior to admission and not in need of medical detoxification services. There is no charge for anyone who is eligible for Indian Health Service (IHS) support, but all other clients must use private health insurance or self-pay.



  • 5-star Google rating
  • client testimonials
  • evidence-based treatment
  • residential treatment
  • outpatient program (OP)
  • aftercare
  • individual therapy
  • group therapy
  • family therapy
  • cognitive behavioral therapy (CBT)
  • 12-step support groups
  • transitional housing/sober living
  • private health insurance
  • self-pay
  • sliding fee scale

Canton, South Dakota

#4 Keystone Treatment Center

Keystone Treatment Center is a rehab center that offers a full spectrum of alcohol and drug rehab programs in Canton, SD, for both adolescents and adults. Treatment is provided for substance use and co-occurring mental health disorders. Founded in 1973, the facility follows a 12-step model of recovery, with all therapies tailored to meet clients’ unique needs. Programs include residential inpatient treatment, partial care/day treatment, and intensive outpatient services.

There are specialized programs at Keystone for clients with unique needs, including American Indians, military veterans, first responders, people of Christian faith, people with opioid use disorder, people addicted to methamphetamines, people with chronic pain issues, people with a gambling addiction, and adolescents.

Show More

Keystone Treatment Center is a rehab center that offers a full spectrum of alcohol and drug rehab programs in Canton, SD, for both adolescents and adults. Treatment is provided for substance use and co-occurring mental health disorders. Founded in 1973, the facility follows a 12-step model of recovery, with all therapies tailored to meet clients’ unique needs. Programs include residential inpatient treatment, partial care/day treatment, and intensive outpatient services.

There are specialized programs at Keystone for clients with unique needs, including American Indians, military veterans, first responders, people of Christian faith, people with opioid use disorder, people addicted to methamphetamines, people with chronic pain issues, people with a gambling addiction, and adolescents.



  • Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation
  • state licensure
  • client testimonials
  • 4.1-star Google rating
  • residential treatment
  • inpatient treatment
  • detox
  • partial hospitalization program (PHP)/day treatment
  • intensive outpatient program (IOP)
  • aftercare
  • individual therapy
  • group therapy
  • family therapy
  • dual diagnosis treatment
  • anger management
  • cognitive behavioral therapy (CBT)
  • motivational incentives
  • motivational interviewing (MI)
  • trauma-informed therapy
  • relapse prevention
  • buprenorphine treatment
  • naltrexone treatment
  • private health insurance
  • state health insurance
  • Medicaid
  • TRICARE
  • self-pay

Parkston, South Dakota

#5 Our Home

Our Home is an addiction treatment center that provides CARF-accredited addiction and mental health services for adolescents in Parkston, SD, with additional services in Huron, SD. Founded in 1972, the 17,000-square-foot Parkston facility houses staff and clients, and contains an academic school and gymnasium. The addiction treatment program, known as Rediscovery Drug & Alcohol Treatment, typically lasts 28 to 30 days, and is licensed to serve up to 98 adolescents.

Treatment options include inpatient rehab, a short-term rehab program, specialized individual and group therapies, and cultural, spiritual, and educational opportunities. Emergency medical care is available in Parkston by the Avera St. Benedict Health Center. Onsite recreational facilities allow clients to participate in basketball, volleyball, softball, and weight-lifting. The Huron location provides specialized programs for sexually aggressive males.

Show More

Our Home is an addiction treatment center that provides CARF-accredited addiction and mental health services for adolescents in Parkston, SD, with additional services in Huron, SD. Founded in 1972, the 17,000-square-foot Parkston facility houses staff and clients, and contains an academic school and gymnasium. The addiction treatment program, known as Rediscovery Drug & Alcohol Treatment, typically lasts 28 to 30 days, and is licensed to serve up to 98 adolescents.

Treatment options include inpatient rehab, a short-term rehab program, specialized individual and group therapies, and cultural, spiritual, and educational opportunities. Emergency medical care is available in Parkston by the Avera St. Benedict Health Center. Onsite recreational facilities allow clients to participate in basketball, volleyball, softball, and weight-lifting. The Huron location provides specialized programs for sexually aggressive males.



  • LegitScript certification
  • state licensure
  • evidence-based treatment
  • residential treatment
  • inpatient treatment
  • individual therapy
  • group therapy
  • family therapy
  • LGBTQ+ services
  • cognitive behavioral therapy (CBT)
  • holistic therapy
  • 12-step support groups
  • self-pay

Sioux Falls, South Dakota

#6 Tallgrass Recovery And Sober Living Homes

Tallgrass is a substance abuse treatment center that offers short-term inpatient treatment and transitional living in Sioux Falls, SD. More than 80% of the services are provided by volunteers from the local recovery community, many of whom are Tallgrass Recovery alumni.

This treatment program is 30 days in length and follows a 12-step, mentor-based approach. The daily schedule at Tallgrass consists of meditation, 12-step meetings, group therapy, and nutritious meals. The inpatient rehab program takes place on a 10-acre campus, where clients can immerse themselves in the outdoors. Since its inception, Tallgrass Recovery has served more than 2,000 people in the Sioux Falls area. After completing 30 days of treatment, clients are able to apply for a transitional housing program.

Show More

Tallgrass is a substance abuse treatment center that offers short-term inpatient treatment and transitional living in Sioux Falls, SD. More than 80% of the services are provided by volunteers from the local recovery community, many of whom are Tallgrass Recovery alumni.

This treatment program is 30 days in length and follows a 12-step, mentor-based approach. The daily schedule at Tallgrass consists of meditation, 12-step meetings, group therapy, and nutritious meals. The inpatient rehab program takes place on a 10-acre campus, where clients can immerse themselves in the outdoors. Since its inception, Tallgrass Recovery has served more than 2,000 people in the Sioux Falls area. After completing 30 days of treatment, clients are able to apply for a transitional housing program.



  • licensed staff
  • client testimonials
  • 3.7-star Google rating
  • non-profit status
  • residential treatment
  • inpatient treatment
  • individual therapy
  • group therapy
  • cognitive behavioral therapy (CBT)
  • holistic therapy
  • 12-step support groups
  • peer support groups
  • transitional housing/sober living
  • self-pay

Brookings, South Dakota

#7 Teen Challenge Of The Dakotas

Teen Challenge of the Dakotas is a men-only residential treatment center in Brookings, SD. It is a Christian-based rehab program in South Dakota, with education and addiction treatment designed to address spiritual growth and wellness for adult men ages 18 and older. Since its inception, the program has operated under the concept that “a person with life-controlling problems can change, if that person wants to change.” To support clients, the facility focuses on the client as a whole, rather than considering their substance abuse as a separate factor.

The 14-month program consists of five phases that include eight months of induction and training and six months of re-entry services. During the first eight months of the program, clients participate in personal and group studies, work-study, and individualized mentoring. During the re-entry program, clients work to obtain and finish their General Educational Development (GED) diploma and find full-time employment. Clients also learn how to formulate and maintain a financial budget with the goal of eliminating debt and planning for future housing. During this phase, clients also participate in community initiatives, such as Habitat for Humanity and The Harvest Table program.

Show More

Teen Challenge of the Dakotas is a men-only residential treatment center in Brookings, SD. It is a Christian-based rehab program in South Dakota, with education and addiction treatment designed to address spiritual growth and wellness for adult men ages 18 and older. Since its inception, the program has operated under the concept that “a person with life-controlling problems can change, if that person wants to change.” To support clients, the facility focuses on the client as a whole, rather than considering their substance abuse as a separate factor.

The 14-month program consists of five phases that include eight months of induction and training and six months of re-entry services. During the first eight months of the program, clients participate in personal and group studies, work-study, and individualized mentoring. During the re-entry program, clients work to obtain and finish their General Educational Development (GED) diploma and find full-time employment. Clients also learn how to formulate and maintain a financial budget with the goal of eliminating debt and planning for future housing. During this phase, clients also participate in community initiatives, such as Habitat for Humanity and The Harvest Table program.



  • Joint Commission accreditation
  • 5-star Google rating
  • client testimonials
  • residential treatment
  • inpatient treatment
  • aftercare
  • individual therapy
  • group therapy
  • cognitive behavioral therapy (CBT)
  • dialectical behavior therapy (DBT)
  • relapse prevention
  • 12-step support groups
  • peer support
  • free/low-cost
  • self-pay

What Drug And Alcohol Rehab Programs Cost In South Dakota

South Dakota offers some of the country’s lowest treatment costs, reflecting the rural Great Plains state’s small population and modest economy.

Approximate cost of treatment in South Dakota:

  • Short-Term Residential Care (30 Days): Round-the-clock treatment at a facility runs $4,500 to $21,000 for one month.
  • Longer Residential Programs (60-90 Days): Extended stays for intensive care cost $9,000 to $42,000 total.
  • Day Treatment Programs: All-day therapy with nights at home averages $3,500 to $13,000 monthly.
  • Part-Time Evening Programs: Multi-weekly sessions for three months cost $2,200 to $8,000.
  • Outpatient Therapy: Weekly counseling runs $1,000 to $7,000 for three months.
  • Medical Detox: Supervised withdrawal costs $280 to $850 daily, around $1,960 to $5,950 for a week.
  • Medication-Assisted Treatment (MAT): Suboxone or Vivitrol programs with doctor visits cost $250 to $650 monthly, methadone runs $300 to $450.
  • Sober Living: Recovery housing costs $350 to $1,400 per month.

The rates above are only estimates. Reach out to the addiction treatment center directly for more accurate numbers.

 Factors That Influence Addiction Treatment Costs In South Dakota

Sioux Falls has the most facilities and widest price range. Rapid City offers moderate costs with limited options. Smaller cities like Aberdeen, Brookings, Watertown, and Pierre have minimal or no local treatment. Rural South Dakota covering most of the state has virtually no facilities, forcing people to drive hours for help.

South Dakota’s Department of Social Services funds free or reduced-cost programs for qualifying low-income residents. Native American reservations including Pine Ridge, Rosebud, Cheyenne River, and Standing Rock operate culturally-specific treatment for tribal members through Indian Health Service funding. Faith-based Christian programs are common and charge less than private facilities.

South Dakota Drug Rehab Program FAQs

You may have questions as you look for the right addiction treatment facility.

Find answers here to some of the most common concerns regarding substance abuse treatment in South Dakota.

Yes, there are rehab programs for LGBTQ people in South Dakota, as well as specialized non-12-step programs for South Dakota residents who do not wish to experience spirituality as part of their recovery.

Some state-funded addiction treatment centers in South Dakota offer treatment free of charge due to government grants or other sponsorships.

Read more about free rehab centers in South Dakota

As with private health insurance plans, some addiction recovery centers also accept Medicare, TRICARE, or South Dakota Medicaid for substance abuse treatment.

Outpatient addiction treatment in South Dakota is available at a great many rehabilitation centers, including many of those listed above.

Yes, people with co-occurring mental health and substance use disorders can find the treatment they need in a dual diagnosis rehab center in South Dakota.

There are some men-only rehab centers in South Dakota and women-only treatment centers in South Dakota, but not every facility will offer gender-specific care. Additionally, some rehab programs may be able to accommodate pregnant South Dakota women for addiction treatment.

Yes, there are luxury rehab facilities in South Dakota for people seeking top-notch amenities and accommodations during their stay.

Select a city below to find addiction treatment near you:

  • Aberdeen
  • Belle Fourche
  • Beresford
  • Box Elder
  • Brandon
  • Brookings
  • Canton
  • Chamberlain
  • Custer
  • Dell Rapids
  • Elk Point
  • Flandreau
  • Fort Pierre
  • Madison
  • Pine Ridge
  • Rapid City
  • Sioux Falls
  • Yankton

Find Addiction Treatment By County:

  • Pennington County

Select a state below for more treatment options near South Dakota:

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