Top Downtown Rapid City, SD Drug and Alcohol Rehab Centers

Downtown Rapid City sits within reach of Huron, North Sioux Falls and Sioux Falls, with the wider Rapid City area a short drive away. Residential inpatient care, partial hospitalization, intensive outpatient programming and standard outpatient services appear in the listings here. Scroll down to compare what each provider actually offers.

Listings here are reviewed against South Dakota DSS Office of Licensing and Accreditation accreditation and federal treatment records, with Joint Commission and CARF accreditation recorded where a provider holds it. Coverage extends to Huron, North Sioux Falls and Sioux Falls. Call ahead to confirm openings before traveling.

Downtown Rapid City, SD Rehab Centers Near You

9 Drug and Alcohol Treatment Facilities in Downtown Rapid City, SD

Abbott House West – Rapid City
22 Waterloo Street, Rapid City, SD 57701
3.4★★★☆☆14
COA accredited
InpatientResidentialIOP+3
Accepts InsuranceAccepts MedicaidAccepts State Insurance+2
Co-occurring DisordersTrauma-informedTeens+6

Abbott House West operates from 22 Waterloo Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Box Elder and Colonial Pine Hills. Distance matters here, and the…

View facility605-718-4870 x315

Substances treated

Adderall Rehab · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · Fentanyl Rehab · Heroin Rehab · Hydrocodone Rehab · Hydromorphone (Dilaudid) Rehab · +26 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Abstinence-Based Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · +24 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · +7 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · +5 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · +37 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · +6 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · TRICARE · UnitedHealthcare (UHC) · VA Community Care

Addiction Recovery Centers of the – Rapid City
1520 North Haines Avenue, Rapid City, SD 57701
4.4★★★★☆39
Joint Commission
IOPOutpatientTelehealth+1
Accepts InsuranceAccepts MedicaidAccepts Medicare+5
Co-occurring DisordersYoung adultsWomen+3

Addiction Recovery Centers of the operates from 1520 North Haines Avenue in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Blackhawk and Box Elder. Distance matters here, and…

View facility605-716-7841

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · Fentanyl Patch (Duragesic) Rehab · +30 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient Rehab · Post-Treatment Follow-Up · Recurrence Prevention · Weekend Rehab

Therapies

12 Step Rehab · Addiction Counseling · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Matrix Model Treatment · Motivational Interviewing · +1 more

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · +11 more

Support services

Case Management · Community Outreach · Practical Support · Recovery Support Services · Waitlist Interim Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC)

3.2★★★☆☆13
Residential
Accepts InsuranceAccepts MedicaidAccepts Medicare+4
SeniorsYoung adultsNon-profit

Behavior Management Systems operates from 121 North Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Box Elder, Colonial Pine Hills and Green Valley. Distance matters here, and the…

View facility605-343-7262

Levels of care

Anxiety Retreat · Depression Retreat · Dual Diagnosis Retreat · Mental Health Retreat · Residential Rehab · Treatment Retreats

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services

Groups served

Adult Rehab · Senior Rehab · Senior Residential Rehab · Young Adult Rehab

Support services

Case Management · Housing and Employment Support · Recovery Support Services · Supported Housing

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC)

Buffalo Plains Recovery – Rapid City (330 Knollwood Drive)
330 Knollwood Drive, Rapid City, SD 57701
Joint Commission
PHPIOPOutpatient+2
Accepts InsuranceAccepts MedicaidAccepts Medicare+2
Co-occurring DisordersMATTrauma-informed+8

Buffalo Plains Recovery operates from 330 Knollwood Drive in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Blackhawk and Box Elder. Distance matters here, and the nearest option…

View facility605-600-6985

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +31 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Partial Hospitalization Program (PHP) · Post-Treatment Follow-Up · +2 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Dual Diagnosis Rehab · +62 more

Support services

Case Management · Community Outreach · Employment Support · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · +2 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC)

Lifeways – Rapid City
1010 9th Street, Rapid City, SD 57701
State licensed
OutpatientAftercare
Accepts MedicaidState FundedSelf-Pay
TeensWomenMen+2

Lifeways operates from 1010 9th Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Blackhawk and Box Elder. South Dakota draws people across long distances for treatment,…

View facility605-716-6555

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · Vyvanse Rehab

Levels of care

Abstinence-Based Rehab · Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Outpatient Rehab · Overdose Prevention Education · Recurrence Prevention · Weekend Rehab

Therapies

Addiction Counseling · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Motivational Interviewing

Mental health

Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Men's Outpatient Rehab · Men's Rehab · Teen Boys Rehab · Teen Girls Outpatient Rehab · Teen Girls Rehab · Teen MAT · Teen Outpatient Rehab · Teen Rehab · Women's Outpatient Rehab · +1 more

Support services

Community Outreach · Intervention Services · Practical Support · Suicide Prevention Services · Transportation to Rehab · Waitlist Interim Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · TRICARE · UnitedHealthcare (UHC) · VA Community Care

Monument Health – Rapid City
915 Mountain View Road, Rapid City, SD 57702
2.0★★☆☆☆43
SAMHSA listed
InpatientOutpatientTelehealth
Accepts InsuranceAccepts MedicaidAccepts Medicare+3
Co-occurring DisordersTrauma-informedVeterans+7

Monument Health operates from 915 Mountain View Road in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Blackhawk, Colonial Pine Hills and Rapid Valley. Distance matters here, and the nearest…

View facility605-755-7200

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · +1 more

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · PTSD Treatment · +2 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen PTSD Rehab · Teen Rehab · +7 more

Support services

Case Management · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC) · VA Community Care

ROADS Inc – Rapid City
103 East Omaha Street, Rapid City, SD 57701
3.4★★★☆☆8
State licensed
IOPOutpatientAftercare
Accepts MedicaidAccepts MedicareState Funded+2
Co-occurring DisordersYoung adultsWomen+4

ROADS Inc operates from 103 East Omaha Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Box Elder and Colonial Pine Hills. Distance matters here, and the…

View facility605-348-8026

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +29 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Outpatient Rehab · Recurrence Prevention · Weekend Rehab

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Conditions · Mental Health Treatment

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Men's Dual Diagnosis Rehab · Men's Medicare Rehab · +7 more

Support services

Health and Wellness Support · Health Education · Practical Support · Suicide Prevention Services · Waitlist Interim Services

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC)

West River Mental Health – Rapid City
111 North Street, Rapid City, SD 57701
3.2★★★☆☆13
OutpatientTelehealthWalk-in
Accepts InsuranceAccepts MedicaidAccepts Medicare+4
VeteransTeensSeniors+3

West River Mental Health operates from 111 North Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Box Elder and Colonial Pine Hills. Distance matters here, and…

View facility605-343-7262

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Family Education Programs · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · Psychosocial Rehab Services

Groups served

Adult Rehab · Court Ordered Rehab · Legal Advocacy Support · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · +3 more

Support services

Case Management · Housing and Employment Support · Housing Assistance · Peer Support · Recovery Support Services · Suicide Prevention Services · Vocational Rehabilitation

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · Medicare · TRICARE · UnitedHealthcare (UHC)

Youth and Family Services Inc – Rapid City
202 East Adams Street, Rapid City, SD 57701
State licensed
OutpatientTelehealthWalk-in+1
Accepts InsuranceAccepts MedicaidAccepts TRICARE+4
Co-occurring DisordersTrauma-informedVeterans+10

Youth and Family Services Inc operates from 202 East Adams Street in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Box Elder and Colonial Pine Hills. Ask what…

View facility605-342-4789

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Chronic Pain and Substance Use · Concerta Rehab · Dexedrine Rehab · Liquor Addiction Treatment · +9 more

Levels of care

Abstinence-Based Rehab · Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Recurrence Prevention · Walk-In Rehab · +1 more

Therapies

Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +7 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · +6 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +69 more

Support services

Case Management · Chronic Illness Management · Community Outreach · Education and Job Training · Health and Wellness Support · Health Education · Housing and Employment Support · Peer Support · Practical Support · Recovery Support Services · +3 more

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Medicaid · TRICARE · UnitedHealthcare (UHC) · VA Community Care

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Addiction Recovery Programs in Downtown Rapid City, Rapid City

Downtown Rapid City sits at the center of a small city, which works in its favor: whatever exists in Rapid City tends to sit close by rather than a long drive out. Someone starting withdrawal today does not need to think in terms of counties or hours on the interstate — the options are compact enough to weigh against each other in the same afternoon.

a reasonable choice locally, covering outpatient services within reach of downtown. That range matters because treatment is rarely a single decision — it is detox, then a step down, then something outpatient that fits around a job or kids. Having those pieces close together in one part of Rapid City means fewer gaps where someone falls out of care simply because the next step was too far to get to.

Polysubstance use is common enough here that no single withdrawal picture covers it. Someone using more than one substance, or a synthetic whose exact makeup nobody is certain of, needs a program that starts by figuring out what is actually in their system rather than assuming.

The nearest emergency department to Downtown Rapid City is at Monument Health Rapid City Hospital in Rapid City, around 4 miles out. Knowing that before a bad night rather than during one is the whole point.

What Treatment Is Available Near Downtown Rapid City

Detox, Residential and Outpatient

Outpatient programs cover the ongoing piece: appointments built around work schedules rather than the other way around.

Coming off stimulants does not require a hospital bed for most people, but it does require somewhere to sleep for a week and somebody checking in.

Getting There and Paying For It

Most of what’s listed here sits within a short drive of downtown, which keeps early appointments realistic even for someone without reliable transportation of their own.

Cost runs $1,610 to $4,900 a week, and Aetna, BCBS (Blue Cross Blue Shield), Cigna Healthcare, Humana, Medicaid and TRICARE are accepted across local providers, alongside South Dakota Medicaid for those who qualify. Accreditation with CARF, or with the Joint Commission, is noted beside South Dakota DSS Office of Licensing and Accreditation and SAMHSA data.

Hospitals and Emergency Services in Downtown Rapid City

Monument Health Rapid City Hospital in Rapid City, around 4 miles away serves as the emergency backstop for the downtown area, and The nearest emergency department is at Monument Health Rapid City Hospital in Rapid City, around 4 miles away, with two more inside thirty miles. when a situation moves past what an outpatient program can manage on its own.

Not sure where to begin? 988 answers questions about treatment. 988 is there when the night turns bad.

Note which programs prescribe medication for opioid dependence. Ask directly; many will not volunteer it.

Compare what’s available across Rapid City as a whole, or see how South Dakota providers are distributed for a wider view before deciding where to start.