Treatment Facilities in South Dakota
63 substance use and mental health treatment facilities across 23 cities in South Dakota.
What the South Dakota Treatment Landscape Looks Like
SAMHSA's N-SUMHSS record lists 63 treatment facilities operating across 23 cities in South Dakota. The portfolio splits roughly 81% substance-use focused (51 sites) and the remainder primarily mental-health focused (23 sites), giving residents a state-wide network to choose from. Care modalities are unevenly distributed: 49% of facilities report residential beds, 78% run outpatient programs, 10% offer medically supervised detox, and 70% provide telehealth options — which matters a lot for rural counties where driving to a brick-and-mortar site is a real barrier.
Medication-Assisted Treatment availability is a critical signal for people seeking evidence-based opioid or alcohol use care. In South Dakota, 17 of 63 facilities (27%) report providing MAT — methadone, buprenorphine, or naltrexone combined with counseling. Payment accessibility is equally important: 57 facilities (90%) accept Medicaid, which is the primary payer for most lower-income adults seeking behavioral-health care. When a state shows a low Medicaid-acceptance share, the practical cost burden on families looking for treatment rises sharply even when the raw facility count looks generous.
Use this page as a structured starting point for comparing cities and shortlisting facilities, not as a clinical recommendation. Every facility entry links to its individual profile with phone numbers, accepted payment types, and services — always call before visiting to verify current availability, intake hours, and insurance contracts, which can change between survey cycles. This is a public-data directory summary, not medical advice. If you or someone you care about is in an immediate crisis, call the SAMHSA National Helpline at 1-800-662-4357 or the 988 Suicide & Crisis Lifeline before navigating this directory.
63
Total Facilities
51
Substance Use
23
Mental Health
27%
Have MAT
Service Availability in South Dakota
| Service | Facilities | Share | Distribution |
|---|---|---|---|
| MAT (Medication-Assisted Treatment) | 17 | 27% | |
| Medically Supervised Detox | 6 | 10% | |
| Telehealth Available | 44 | 70% | |
| Residential Treatment | 31 | 49% | |
| Outpatient Programs | 49 | 78% | |
| Accepts Medicaid | 57 | 90% |
Distribution shares are computed from SAMHSA N-SUMHSS facility-level survey responses across 63 sites in South Dakota.
Cities in South Dakota (23)
Sioux Falls
17 facilities
Rapid City
14 facilities
Huron
4 facilities
Hot Springs
3 facilities
Flandreau
2 facilities
Howard
2 facilities
Madison
2 facilities
Spearfish
2 facilities
Watertown
2 facilities
Yankton
2 facilities
Aberdeen
1 facilities
Canton
1 facilities
Fort Meade
1 facilities
Fort Thompson
1 facilities
Kyle
1 facilities
Lake Andes
1 facilities
Mission
1 facilities
Mitchell
1 facilities
Pierre
1 facilities
Sisseton
1 facilities
Sturgis
1 facilities
Vale
1 facilities
Winner
1 facilities
Facilities in South Dakota
Abbott House
Mitchell, SD 57301
Action for the Betterment of
Our Community
Sturgis, SD 57785
Addiction Recovery Centers of the
Black Hills
Rapid City, SD 57701
Addiction Recovery Centers of the
Black Hills
Hot Springs, SD 57747
Anpetu Luta Otipi/Kyle Campus
Comprehensive Substance Abuse Program
Kyle, SD 57752
Avera McKennan Behavioral Health Ctr
Inpatient Services
Sioux Falls, SD 57108
Avera McKennan Hospital (BHS)
Addiction Recovery Program
Sioux Falls, SD 57105
Avera Saint Lukes Hospital
Behavioral Health Center
Aberdeen, SD 57401
BAART Programs Sioux Falls
Sioux Falls, SD 57104
Behavior Management Systems
Full Circle
Rapid City, SD 57701
Behavior Management Systems
Satellite Office
Hot Springs, SD 57747
Behavior Management Systems
Mainstream Residential
Rapid City, SD 57701
Behavioral Health Medicine and
Administrative Offices
Huron, SD 57350
Buffalo Plains Recovery
Rapid City, SD 57701
Canku Teca Treatment Center
Lake Andes, SD 57356
Capital Area Counseling Services
Pierre, SD 57501
Childrens Home Society of SD
Black Hills Childrens Home
Rapid City, SD 57702
Childrens Home Society of SD
Sioux Falls Childrens Home
Sioux Falls, SD 57101
Choices Recovery Services Inc
Sioux Falls, SD 57104
Community Counseling Services
Huron, SD 57350
Community Counseling Services
Madison
Madison, SD 57042
Community Counseling Services
Outreach Program
Howard, SD 57349
Community Counseling Services
Bradfield/Leary Center
Huron, SD 57350
Community Counseling Services
Outreach Program
Flandreau, SD 57028
Counseling Resources
Sioux Falls, SD 57106
Dakota Drug and Alcohol Prevention Inc
Prairie View Prevention Services
Sioux Falls, SD 57105
First Step Counseling
Sioux Falls, SD 57106
Flandreau Santee Sioux Tribe
Flandreau, SD 57028
Fort Thompson Service Unit
Behavioral Health Clinic
Fort Thompson, SD 57339
Glory House of Sioux Falls
Sioux Falls, SD 57105
iRecover US
Howard, SD 57349
Keystone Treatment Center
Canton, SD 57013
Keystone Treatment Center
Outpatient Treatment
Sioux Falls, SD 57105
Lewis and Clark Behavioral Hlth Servs
Alcohol and Drug Program
Yankton, SD 57078
Lifeways
Rapid City, SD 57701
Lourdes Center
Sioux Falls, SD 57104
Lutheran Social Services of SD
Summit Oaks Center
Sioux Falls, SD 57104
Lutheran Social Services of SD
Sioux Falls Area Counseling Center
Sioux Falls, SD 57105
Lutheran Social Services of SD
Canyon Hills Center
Spearfish, SD 57783
Lutheran Social Services of SD
Watertown Area Counseling Center
Watertown, SD 57201
Lutheran Social Services of SD
Rapid City Area Counseling Center
Rapid City, SD 57702
Mark Bontreger Inc
Watertown, SD 57201
Monument Health
Monument Behavioral Health Center
Rapid City, SD 57702
New Dawn Enterprises
Vale, SD 57788
Our Home Inc
Rediscovery Program
Huron, SD 57350
Pennington County
Addiction Treatment Services
Rapid City, SD 57701
Rapid City
CBOC/Outpatient Treatment Program
Rapid City, SD 57701
ROADS Inc
Rapid City, SD 57701
Sands Freedom Center
Sioux Falls, SD 57105
Sisseton Wahpeton Sioux Tribe
Dakota Pride Treatment Center
Sisseton, SD 57262
South Dakota Human Services Center
Gateway Chem Dependency Treatment Ctr
Yankton, SD 57078
Southeastern Behavioral Healthcare
Counseling and Childrens Services
Sioux Falls, SD 57105
Southern Plains
Behavioral Health Services
Winner, SD 57580
Southern Plains
Behavioral Health Services
Mission, SD 57555
Tallgrass Recovery and
Sober Living Homes
Sioux Falls, SD 57105
Turning Point Behavioral Health
Madison, SD 57042
VA Black Hills Healthcare System
Hot Spring Campus
Hot Springs, SD 57747
Veterans Affairs Medical Center
VA Black Hills Health Care System
Fort Meade, SD 57741
Volunteers of America Dakotas
Sioux Falls, SD 57105
Wellfully Wellspring Inc
Rapid City, SD 57701
West River Mental Health
Northern Hills
Spearfish, SD 57783
West River Mental Health
Mainstream and IMPACT West
Rapid City, SD 57701
Youth and Family Services Inc
Counseling Center
Rapid City, SD 57701
Source: SAMHSA, National Substance Use and Mental Health Services Survey (N-SUMHSS) and FindTreatment.gov (2024) SAMHSA, National Substance Use and Mental Health Services Survey (N-SUMHSS) and FindTreatment.gov (2024)
Read our methodology — how this data is sourced, computed, and verified.
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