Find Treatment Centers in South Dakota
53 SAMHSA-verified facilities. 90 annual opioid deaths. Help is available — and it works.
Quick answer: South Dakota has 53 verified treatment centers. Medicaid is expanded — many programs are free or low-cost for eligible residents. The overdose rate is 12.8/100k (#50 nationally, below the national average of 33.1). Top cities: Sioux Falls, Huron, Winner. Need help? Call (833) 546-3513.
Treatment Centers in South Dakota
53 facilities found
First Step Counseling
Sioux Falls, SD
A private outpatient center offering individual and group counseling, comprehensive substance use assessments, and specialized programs for DUI/DWI clients.
Great Plains Area Youth Reg Trt
Mobridge, SD
Specialized youth residential treatment center offering integrated care for addiction, mental health, trauma, and co-occurring disorders with comprehensive supp...
MSVS Community Counseling Services
Huron, SD
MSVS Community Counseling Services in Huron, SD provides responsive care for individuals facing both mental health and substance use challenges. Their collabora...
Rapid City CBOC/Outpatient Treatment Program
Rapid City, SD
Integrative outpatient care with trauma-focused approach for addiction, mental health, and co-occurring conditions like trauma and depression.
Southeastern Behavioral Healthcare Counseling and Childrens Services
Sioux Falls, SD
Southeastern Behavioral Healthcare Counseling and Children's Services in Sioux Falls, SD, is dedicated to treating both substance use and mental health disorder...
Tennessee Community Counseling Services
Huron, SD
Comprehensive outpatient center providing case management, counseling, detox, transitional housing, and specialized services for various populations.
Abbott House Community Residence
Mitchell, SD
Residential treatment center for children/adolescents with trauma, PTSD, and SMI using therapy, case management, and psychoeducation.
Abbott House Mental Health Clinic
Mitchell, SD
Integrative outpatient center for mental health and addiction treatment with group therapy, CBT, trauma support, and comprehensive care.
Community Counseling Services Outreach Servs/Hand County Memorial
Huron, SD
A community mental health center offering outpatient services for children, adolescents, adults, and seniors with various mental health conditions.
Community Counseling Services Region 7
Huron, SD
A non-profit mental health clinic offering outpatient and day treatment with therapy, counseling, and support for serious mental illness.
Counseling First
Sioux Falls, SD
A non-profit outpatient center offering comprehensive substance use treatment with trauma-related counseling, group therapy, and professional interventionists.
Dr. Mark Bontreger
Watertown, SD
Dr. Mark Bontreger has over 30 years of experience in addiction and mental health counseling, treating a wide range of conditions, including alcohol and drug ad...
Addiction Treatment in South Dakota: What You Need to Know
South Dakota has 53 SAMHSA-verified treatment facilities serving a population of 919,000. That's approximately 5.8 facilities per 100,000 residents. The state's drug overdose death rate of 12.8 per 100,000 is below the national average of 33.1 — ranking #50 nationally. With 90 opioid-related deaths reported annually, access to evidence-based treatment programs remains critical.
Insurance & Medicaid Coverage in South Dakota
South Dakota has expanded Medicaid under the ACA, significantly broadening access to addiction treatment for low-income adults earning up to 138% of the federal poverty level (~$20,783/year for an individual). Covered services typically include medical detox, inpatient/residential rehab, outpatient counseling, and medication-assisted treatment (MAT). In addition to Medicaid, most private insurance plans — including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, and Humana — are required by the Mental Health Parity Act to cover substance use disorder treatment at parity with medical care.
The Overdose Crisis in South Dakota
South Dakota reports 90 opioid-related deaths annually with an overdose rate of 12.8/100k (below the 33.1 national average by 61%). Substance use disorder affects approximately 5.4% of adults in the state (national average: 7.2%). South Dakota has enacted a Good Samaritan law that protects individuals who call 911 during an overdose emergency from certain criminal charges — encouraging bystanders to seek help. Naloxone (Narcan), the opioid overdose reversal medication, is available via pharmacist prescribing in South Dakota, making it accessible without an individual prescription.
Types of Treatment Available
| Program | Duration | Cost Range | Best For |
|---|---|---|---|
| Medical Detox | 5–10 days | $1,000–$5,000 | Alcohol, opioid, benzo withdrawal |
| Inpatient Rehab | 28–90 days | $6,000–$30,000 | Severe addiction, co-occurring disorders |
| PHP (Partial Hospitalization) | 2–4 weeks | $3,000–$10,000 | Step-down from inpatient, intensive support |
| IOP (Intensive Outpatient) | 2–4 months | $3,000–$10,000 | Work/school compatibility, 9-20 hrs/week |
| Outpatient | 3–12 months | $1,400–$10,000 | Mild-moderate, stable housing |
| MAT | 6–24+ months | $5,000–$15,000/yr | Opioid use disorder, relapse prevention |
Medicaid covers most programs for eligible residents. Call (833) 546-3513 for free insurance verification.
Where to Find Help in South Dakota
Treatment facilities in South Dakota are concentrated in urban areas, with Sioux Falls leading with 30 centers, followed by Huron (8) and Winner (2). For residents in rural areas, telehealth addiction counseling and out-of-area programs provide alternatives. Browse our full South Dakota directory to filter by city, treatment type, and insurance accepted.
Last updated: March 2026 · Written by the RehabHive Editorial Team · Sources: SAMHSA, CDC WONDER, KFF
Check Your Insurance Coverage in South Dakota
Medicaid expanded — most plans cover treatment. Verify your benefits — free and confidential.
Treatment FAQ — South Dakota
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Looking in Nearby States?
Explore treatment options in states neighboring South Dakota.
