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6 Best Detox Centers in South Dakota (2026)

We list 6 detox centers in South Dakota, based on SAMHSA's FindTreatment.gov data, with the most in Rapid City (2), Canton (1), and Madison (1). Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 6Treatment facilities
  • 6Inpatient / residential
  • 6Accept Medicaid
  • 5Accept private insurance

Detox: the basics

Detox centers provide medically supervised withdrawal management, helping you safely stop alcohol or drugs while trained staff treat withdrawal symptoms. Most stays last several days to about two weeks, depending on the substance and your health. Search below for licensed detox centers near you, and plan for ongoing care, since detox is the first step in treatment, not a cure. Read the full guide →

2026 rankings

Top 6 detox centers in South Dakota

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Buffalo Plains Recovery – Detox and Inpatient Facility

    Rapid City, SD

    8.1ExcellentStartDrugRehab Score 8.1 out of 10
    4.7Google23 reviews

    Best for: Detox and residential careJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  2. Keystone Treatment Center – Residential Treatment

    Canton, SD

    7.8Very goodStartDrugRehab Score 7.8 out of 10
    4.1Google89 reviews

    Best for: Detox and residential careCARF

    Why it made our list: CARF accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  3. iRecover US

    Howard, SD

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.3Google19 reviews

    Best for: Detox and residential careCARF

    Why it made our list: CARF accredited; offers detox, residential care, IOP, and MAT; accepts private insurance, Medicaid, and self-pay.

    View details
  4. Turning Point Behavioral Health

    Madison, SD

    7.4Very goodStartDrugRehab Score 7.4 out of 10

    Best for: Detox and residential care

    Why it made our list: Offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.

    View details
  5. Lewis and Clark Behavioral Health Services – Alcohol and Drug Program

    Yankton, SD

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    3.5Google16 reviews

    Best for: Detox and residential care

    Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.

    View details
  6. Pennington County – Addiction Treatment Services

    Rapid City, SD

    6.5GoodStartDrugRehab Score 6.5 out of 10
    4.0Google35 reviews

    Best for: Detox and residential care

    Why it made our list: Offers detox, residential care, IOP, and outpatient care; accepts Medicaid and self-pay.

    View details

See the best rehab centers in South Dakota →

Cities with detox centers in SD

All detox centers in South Dakota

8.1ExcellentStartDrugRehab Score 8.1 out of 10
4.7Google23 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

iRecover US

Howard, SD 57349

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.3Google19 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · Self-pay

“Get help” calls our free helpline, not this facility.

7.8Very goodStartDrugRehab Score 7.8 out of 10
4.1Google89 reviews

CARF accredited

Setting
Inpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

7.4Very goodStartDrugRehab Score 7.4 out of 10
Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Partial Hospitalization
  • +6 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

6.5GoodStartDrugRehab Score 6.5 out of 10
4.0Google35 reviews
Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Intensive Outpatient
  • +2 more

Payment accepted

Medicaid · Self-pay · State-funded

“Get help” calls our free helpline, not this facility.

More options in South Dakota

Detox Centers in other states

Frequently asked questions

How many detox centers are in South Dakota?

We list 6 detox centers in South Dakota, based on SAMHSA's FindTreatment.gov data (updated October 2026).

Which South Dakota cities have the most detox centers?

The most listings are in Rapid City (2), Canton (1), and Madison (1).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.