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Rapid City, South Dakota · 10 licensed programs

9 Best Rehab Centers in Rapid City, SD (2026)

Rapid City, SD has 10 licensed drug and alcohol treatment facilities listed in SAMHSA's FindTreatment.gov data: 2 offer detox, 4 provide residential (inpatient) care, 4 offer medication-assisted treatment, and 10 accept South Dakota Medicaid. Compare levels of care, insurance accepted and accreditation below.

  • 10Treatment facilities
  • 2Offer detox
  • 4Inpatient / residential
  • 10Accept Medicaid

2026 rankings

Top 9 rehab centers in Rapid City, SD

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. Addiction Recovery Centers of the – Black Hills

    Rapid City, SD

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.5Google41 reviews

    Best for: Intensive outpatient careJoint Commission

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

    View details
  3. Rapid City – CBOC/Outpatient Treatment Program

    Rapid City, SD

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    3.6Google45 reviews

    Best for: Outpatient care with MATJoint Commission

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

    View details
  4. 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
  5. Abbott House West

    Rapid City, SD

    6.4GoodStartDrugRehab Score 6.4 out of 10
    3.3Google15 reviews

    Best for: Residential treatmentCOA

    Why it made our list: COA accredited; offers residential care, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  6. ROADS Inc

    Rapid City, SD

    6.0GoodStartDrugRehab Score 6.0 out of 10

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, and dual diagnosis care; accepts Medicaid, Medicare, and self-pay.

    View details
  7. Behavior Management Systems – Full Circle

    Rapid City, SD

    5.9FairStartDrugRehab Score 5.9 out of 10

    Best for: Residential treatment

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

    View details
  8. Youth and Family Services Inc – Counseling Center

    Rapid City, SD

    5.6FairStartDrugRehab Score 5.6 out of 10
    1.0Google2 reviews

    Best for: Low-cost outpatient care

    Why it made our list: Offers outpatient care and dual diagnosis care; accepts private insurance, Medicaid, and TRICARE.

    View details
  9. Lifeways

    Rapid City, SD

    5.3FairStartDrugRehab Score 5.3 out of 10

    Best for: Low-cost outpatient care

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

    View details

See the best rehab centers in South Dakota →

All treatment centers in Rapid City

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.

8.1ExcellentStartDrugRehab Score 8.1 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

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

Abbott House West

Rapid City, SD 57701

6.4GoodStartDrugRehab Score 6.4 out of 10
3.3Google15 reviews

COA accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Hospital Inpatient
  • Intensive Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · Self-pay

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

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.5Google41 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 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.

7.2Very goodStartDrugRehab Score 7.2 out of 10
3.6Google45 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

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

5.9FairStartDrugRehab Score 5.9 out of 10
Setting
In/Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Outpatient
  • +1 more

Payment accepted

Medicaid · Self-pay · Sliding scale

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

5.6FairStartDrugRehab Score 5.6 out of 10
1.0Google2 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis

Payment accepted

Medicaid · Private insurance · TRICARE +3 more

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

ROADS Inc

Rapid City, SD 57701

6.0GoodStartDrugRehab Score 6.0 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis

Payment accepted

Medicaid · Medicare · Self-pay +1 more

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

Lifeways

Rapid City, SD 57701

5.3FairStartDrugRehab Score 5.3 out of 10
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient

Payment accepted

Medicaid · Self-pay · State-funded

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

Levels of care available in Rapid City

Level of careFacilities in Rapid CityStatewide
Detox26 in SD
Inpatient / Residential4 in Rapid City19 in SD
Hospital Inpatient26 in SD
Partial Hospitalization (PHP)14 in SD
Intensive Outpatient (IOP)6 in Rapid City22 in SD
Outpatient9 in Rapid City32 in SD
Medication-Assisted Treatment (MAT)4 in Rapid City20 in SD
Dual Diagnosis7 in Rapid City29 in SD
Sober Living / Transitional Housing8 in Rapid City40 in SD
Telehealth5 in Rapid City27 in SD
Mental Health Treatment14 in SD

By insurance in Rapid City

Programs for specific groups

Rehab near Rapid City

All rehab centers in South Dakota →

Frequently asked questions

How many drug and alcohol rehab centers are in Rapid City, SD?

Our directory lists 10 licensed substance use treatment facilities in Rapid City, SD, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.

Are there detox centers in Rapid City, SD?

Yes. 2 programs in Rapid City, SD offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.

Which rehabs in Rapid City, SD accept South Dakota Medicaid?

10 facilities in Rapid City, SD report accepting Medicaid (South Dakota Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.

Do rehabs in Rapid City, SD take private insurance?

6 facilities in Rapid City, SD 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.

Is there inpatient rehab in Rapid City, SD?

4 facilities in Rapid City, SD offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.

Can I get medication-assisted treatment (MAT) in Rapid City, SD?

Yes. 4 programs in Rapid City, SD use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.

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