North Dakota · 61 licensed programs in 17 cities
We list 61 licensed drug and alcohol treatment facilities in North Dakota across 17 cities, with the most in Fargo, Bismarck, Grand Forks, and Williston. 9 offer detox, 18 provide residential care and 48 accept North Dakota Medicaid.
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Detox and residential careJoint Commission
Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Veterans (VA care)Joint Commission
Why it made our list: Joint Commission accredited; offers detox, IOP, outpatient care, and MAT; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.
Best for: Methadone treatmentJoint Commission
Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Methadone treatmentCARF
Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and TRICARE.
Best for: Detox and residential careCOA
Why it made our list: COA accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCOA
Why it made our list: COA accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCOA
Why it made our list: COA accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
There are 61 licensed drug and alcohol treatment facilities in North Dakota in our directory, across 17 cities. 18 offer residential (inpatient) rehab, 9 offer detox and 28 provide medication-assisted treatment, based on SAMHSA FindTreatment.gov data updated October 2026.
Level of care
Insurance & cost
Specialized programs
Most people pay for rehab with health insurance. 50 facilities in North Dakota accept private insurance and 48 accept Medicaid (North Dakota Medicaid). Under the Affordable Care Act and federal parity law, most plans must cover addiction treatment much like other medical care, though deductibles, prior authorization and network rules apply.
Without insurance, 15 programs report state or SAMHSA block-grant funding for people who qualify, and 13 offer sliding-scale fees based on income. What you pay depends mostly on the level of care: outpatient programs cost far less than residential rehab or medically managed detox.
Rehab coverage guides by insurer:
Not sure what your plan covers? Call (833) 589-6933 for a free, confidential benefits check.
Bismarck, ND 58501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Cando, ND 58324
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Joint Commission accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay
“Get help” calls our free helpline, not this facility.
Minot, ND 58701
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58503
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Arnegard, ND 58835
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Grand Forks, ND 58203
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58501
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58501
Joint Commission accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Minot, ND 58703
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Grand Forks, ND 58201
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58104
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58104
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Grand Forks, ND 58201
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
Levels of care
Payment accepted
State-funded
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Fargo, ND 58102
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Grand Forks, ND 58208
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Mandan, ND 58554
Levels of care
Payment accepted
Self-pay
“Get help” calls our free helpline, not this facility.
Jamestown, ND 58401
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Fargo, ND 58103
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +4 more
“Get help” calls our free helpline, not this facility.
Williston, ND 58801
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58503
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Grand Forks, ND 58201
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +1 more
“Get help” calls our free helpline, not this facility.
Dickinson, ND 58601
COA accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Substance-free housing, including Oxford Houses, for early recovery after or alongside treatment.
Fargo, ND 58103
CARF accredited
Levels of care
Payment accepted
Medicaid · Private insurance · TRICARE +1 more
“Get help” calls our free helpline, not this facility.
Bismarck, ND 58503
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Minot, ND 58703
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay
“Get help” calls our free helpline, not this facility.
Rehab guide
Your North Dakota rehab guide
Treatment options in North Dakota range from outpatient counseling a few hours a week to medically supervised detox and 24-hour residential programs. Of the 61 facilities listed here, 9 offer detox, 18 provide residential (inpatient) treatment, 28 offer medication-assisted treatment (MAT) and 4 are federally certified opioid treatment programs that dispense methadone.
The right level of care depends on how severe the substance use is, whether withdrawal could be dangerous, other health conditions and the support you have at home. A clinical assessment, often free over the phone, is the usual first step.
48 facilities in North Dakota report accepting Medicaid (North Dakota Medicaid) and 50 accept private health insurance. Under the Affordable Care Act and federal parity law, most health plans must cover substance use disorder treatment on terms comparable to other medical care, though prior authorization and network rules apply.
If you have no insurance, 15 programs in North Dakota report government or SAMHSA block-grant funding, which can pay for treatment for people who qualify. Many others offer sliding-scale fees based on income.
The North Dakota Health and Human Services, Behavioral Health Division oversees publicly funded substance use treatment in North Dakota. North Dakota's Substance Use Disorder Voucher helps pay for treatment at participating private providers for people who qualify, and regional human service centers offer public services. Visit the agency.
North Dakota has expanded Medicaid, so adults with incomes up to about 138% of the federal poverty level can qualify for North Dakota Medicaid, which covers addiction treatment.
In North Dakota, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days. Laws and procedures change, so contact the local court clerk or an attorney before filing.
If you or someone else is in danger, call 911. For a mental health or substance use crisis, call or text 988 (the Suicide & Crisis Lifeline). SAMHSA's National Helpline, 1-800-662-4357, is free, confidential and open 24/7 for treatment referrals.
Our directory lists 61 licensed substance use treatment facilities in North Dakota, based on SAMHSA's FindTreatment.gov data.
Yes. Medicaid programs cover substance use disorder treatment, and 48 facilities in North Dakota report accepting North Dakota Medicaid. Covered services and provider networks vary by plan, so confirm with the program before admission.
15 programs in North Dakota report state or federal (SAMHSA block grant) funding, which can cover treatment for people without insurance who qualify. Call (833) 589-6933 or SAMHSA's helpline at 1-800-662-4357 for help finding a low-cost option.
In North Dakota, the law allows a court to order involuntary treatment for a substance use disorder in limited circumstances, usually when the person is a danger to themselves or others or cannot care for themselves. An order can last up to 90 days.
Our directory lists 61 licensed substance use treatment facilities in North Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.
Yes. 9 programs in North Dakota offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.
48 facilities in North Dakota report accepting Medicaid (North Dakota Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.
50 facilities in North Dakota accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (833) 589-6933 for a free insurance check.
18 facilities in North Dakota offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.
Yes. 28 programs in North Dakota use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.
Residential programs commonly run 28 to 30 days, with longer stays of 60 to 90 days for more severe addiction, and detox alone usually takes 3 to 10 days. The National Institute on Drug Abuse notes that most people need at least three months of treatment, across all levels of care, to significantly reduce or stop drug use, and that longer treatment is linked to better outcomes. 18 facilities in North Dakota offer residential care.
Most people use private health insurance, Medicaid (North Dakota Medicaid), Medicare or TRICARE, which are required to cover substance use treatment. People without insurance may qualify for state- or SAMHSA-funded programs (15 in North Dakota report this funding) or sliding-scale fees. Call (833) 589-6933 for a free benefits check.
Cost depends mainly on the level of care and your coverage. Outpatient counseling is the least expensive; intensive outpatient and partial hospitalization cost more; residential rehab and medically managed detox cost the most because they include 24-hour care. With insurance, your share is set by your deductible, copays and out-of-pocket maximum, so verify benefits with the program before admission.
Yes. Many people travel for treatment, for example to put distance between themselves and triggers or to reach a specialized program. Check whether your plan covers out-of-state or out-of-network care first: Medicaid generally covers only in-state providers, while many private plans have national networks.
