Find Drug & Alcohol Detox Centers in Fargo, ND

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Detox Centers in Fargo

15 Results

Name	Address	Detox Service Setting	Levels Of Care
Fargo VA Health Care System	2101 Elm Street North Fargo, ND 58102	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+3
Prairie St. John’s	510 4th Street South Fargo, ND 58103	Detox Service Setting Hospital DetoxMAT	Levels Of Care InpatientOutpatientPHP
Robinson Recovery Center	4215 9th Ave S Fargo, ND 58103	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
ShareHouse	4227 9th Avenue South Fargo, ND 58103	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care Outpatient
Soul Solutions Recovery Center	1801 38th St S Fargo, ND 58103	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Southeast Human Service Center Alcohol and Drug Abuse	2624 9th Avenue Southwest Fargo, ND 58103	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
First Step Recovery PLLP	2701 12th Avenue South Fargo, ND 58103	Detox Service Setting Outpatient Detox	Levels Of Care Outpatient
Ideal Option Fargo	3345 39th St S Fargo, ND 58104	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatient
Rewind	840 East Main Street Perham, MN 56573	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientSober Living
Agassiz Associates	2424 32nd Avenue South Grand Forks, ND 58201	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
Grand Forks VA Clinic	3221 32nd Avenue South Grand Forks, ND 58201	Detox Service Setting Inpatient DetoxOutpatient DetoxMAT	Levels Of Care InpatientPHPOutpatient+2
EOSIS Northern Plains	1111 Gateway Drive Northeast East Grand Forks, MN 56721	Detox Service Setting Inpatient DetoxOutpatient Detox	Levels Of Care InpatientOutpatientSober Living
Sanford Thief River Falls Behavioral Health Center	120 Labree Avenue South Thief River Falls, MN 56701	Detox Service Setting Outpatient Detox	Levels Of Care OutpatientDual Diagnosis
Milestones	620 9th Avenue West Alexandria, MN 56308	Detox Service Setting Inpatient Detox	Levels Of Care InpatientDual DiagnosisIntervention+1
Nystrom & Associates – Baxter	13045 Falcon Drive Baxter, MN 56425	Detox Service Setting Outpatient DetoxMAT	Levels Of Care OutpatientAftercareDual Diagnosis

Drug & Alcohol Detox in Fargo, ND

Fargo is the state’s largest city and its primary hub for addiction treatment services, hosting a concentration of detox and outpatient programs not found elsewhere in North Dakota.

Drug and alcohol detox programs in Fargo operate within a regulatory framework set by the North Dakota Department of Health and Human Services (ND HHS) Behavioral Health Division (BHD). The BHD issues licenses to addiction treatment providers under the American Society of Addiction Medicine (ASAM) levels-of-care framework and licensed programs are reviewed biennially.

The Fargo metro falls within the state’s Southeast Human Service Center region, which provides publicly funded SUD treatment and referrals to residents with financial need.

For example, Prairie St. John’s operates one of the few inpatient medical detox programs in the city, with crisis stabilization and a partial hospitalization program on the same campus. The Southeast Human Service Center on Main Avenue also provides state-funded outpatient MAT and behavioral health services, including prescribing buprenorphine and naltrexone, at reduced or no cost to eligible residents.

Opioid lawsuit settlement funds are now actively flowing into the state’s behavioral health system. In 2025, ND HHS awarded grants from settlement proceeds to expand prevention, treatment and recovery services statewide, with Fargo-area providers among the recipients. These funds are being directed toward MAT expansion, naloxone access and workforce development.

People searching for drug or alcohol detox in Fargo should be aware that inpatient medically managed detox capacity is limited locally, and waitlists are possible at publicly funded facilities.

Planning ahead and contacting the Southeast Human Service Center (701-298-4500) for a needs assessment can connect you with available level-of-care placements faster than searching independently.

Find The Perfect Detox Center For You

Filter treatment centers in Fargo by level of care offered to find the best detox program for you or a loved one.

Paying for Detox in Fargo

Whether you have private insurance, Medicaid or no coverage at all, there are real options for financing detox in Fargo. Therefore, understanding what your plan covers before you call a facility will save time and prevent surprises.

How much detox costs depends on the level of care, your insurance status and whether you use a state-funded or private provider.

How Much Does Detox Cost in Fargo?

Detox costs in Fargo vary considerably based on the level of medical supervision required, the length of stay and whether care is delivered in a hospital, residential facility or outpatient setting.

As well, people with complex withdrawal histories or co-occurring health conditions typically require a higher level of care, which increases cost.

Fargo does not have a large inventory of private luxury residential programs; most facilities are community-based or state-funded, which keeps costs closer to national mid-range averages.

$150,000

Medical Detox

$51,000

Inpatient Rehab

$11,000

Outpatient Rehab

$5,200

Methadone Treatment

Does Private Insurance Cover Detox in Fargo?

Private insurers operating in North Dakota are required under the Affordable Care Act and the federal Mental Health Parity and Addiction Equity Act to cover substance use disorder treatment at levels comparable to other medical benefits. The North Dakota Insurance Department oversees compliance.

If you have questions, you can verify in-network providers and coverage details through your insurer directly or through the ND Health Insurance Marketplace.

The most common commercial insurance companies in the Fargo market include:

Medicare and Medicaid in Fargo

Medicare

Medicare covers medically supervised detox, inpatient and outpatient SUD treatment and MAT services, including methadone under Part B (when delivered through a certified opioid treatment program) and buprenorphine under Part D. It is important to keep in mind that copays and deductibles vary by treatment setting and plan type.

Medicaid

North Dakota Medicaid (administered by ND HHS) covers detox, inpatient residential treatment, outpatient SUD services and MAT for eligible adults.

North Dakota expanded Medicaid under the ACA, meaning adults with household incomes at or below 138% of the federal poverty level generally qualify. Contact ND Medicaid at 1-866-614-6005 or visit hhs.nd.gov to check your eligibility.

Other Ways to Pay for Detox Treatment

Cost should not be the deciding factor in whether someone seeks detox care in Fargo. Several alternatives exist for people without adequate insurance coverage:

State-funded programs:

The Southeast Human Service Center provides SUD treatment, including outpatient MAT, using state and federal funds. Services are offered on a sliding fee scale or at no cost to qualifying residents in the Fargo-Cass region. Contact the center at 701-298-4500 to begin a financial needs assessment.

Sliding scale payment:

ShareHouse Inc., a nonprofit outpatient provider in Fargo, uses a sliding fee scale and SAMHSA funding to reduce out-of-pocket costs for uninsured or underinsured individuals.

Veterans programs:

The Fargo VA Healthcare System Substance Abuse Treatment Program (17 7th Street South, Fargo) provides detox and outpatient services to eligible veterans, accepting Medicaid and military insurance (TRICARE). Veterans experiencing barriers to VA access can contact the VA’s Veterans Crisis Line at 988, press 1.

Opioid settlement grants:

ND HHS has distributed opioid settlement funds to North Dakota providers to reduce financial barriers to treatment. Some Fargo-area programs have received these grants to subsidize care for people who otherwise could not afford it. Ask any facility directly whether settlement-funded assistance is currently available.

Fargo, North Dakota Regulations and Accreditation for Detox

ND HHS Behavioral Health Division (BHD)

The BHD is the primary state licensing authority for all addiction treatment programs in North Dakota, including medically supervised detox. It licenses providers under ASAM levels of care as defined in the North Dakota Administrative Code (NDAC Title 75), conducts biennial compliance reviews and allocates state and federal SUD funding to regional providers and local public health units.

Website: hhs.nd.gov

North Dakota Administrative Code (NDAC), Title 75, Chapters 75-09.1 and 75-03

These chapters establish the clinical licensing standards for substance use disorder treatment facilities operating in North Dakota. They define admission criteria by ASAM dimension, staffing requirements, documentation standards and Medicaid certification requirements for facilities providing detox and residential SUD services.

Website: legis.nd.gov

The Joint Commission

Voluntary accreditation from the Joint Commission is held by several Fargo-area providers, including Prairie St. John’s. Joint Commission accreditation indicates that a facility meets nationally recognized performance standards for quality and patient safety in clinical settings, above and beyond state licensing minimums.

Website: jointcommission.org

North Dakota Insurance Department

Oversees private insurer compliance with the ACA’s mental health parity requirements and the Mental Health Parity and Addiction Equity Act (MHPAEA) in North Dakota, ensuring insurers do not apply more restrictive coverage limits to SUD treatment than to other medical benefits.

Website: nd.gov

Key MAT Medications and Regulatory Status in Fargo

Medication-assisted treatment in Fargo is governed by both federal regulations (SAMHSA’s 42 CFR Part 8 for opioid treatment programs and DEA controlled substance rules) and North Dakota state licensing standards under NDAC Title 75.

State-licensed providers offering MAT must integrate behavioral health services alongside medication prescribing.

Buprenorphine:

Widely accessible in Fargo through clinic-based and telehealth providers. The removal of the federal X-waiver requirement in 2023 has made prescribing more widely available from primary care and office-based providers.

Methadone:

Restricted to SAMHSA-certified Opioid Treatment Programs (OTPs). Fargo does not have a large number of licensed methadone clinics, so daily in-person dosing requirements can present logistical challenges for some patients. ND Medicaid covers methadone when delivered through a certified OTP.

Naltrexone:

Available without the prescribing restrictions applied to opioid-based MAT medications. The injectable form (Vivitrol) is used at multiple Fargo providers for both opioid use disorder (OUD) and alcohol use disorder (AUD).

Overdose Prevention and Harm Reduction in Fargo

Fargo has one of the most active harm reduction networks in the Northern Plains region, anchored by a city-county public health program that has operated continuously since 2018.

The focus is on keeping people who use drugs alive and connected to services through naloxone distribution, sterile syringe access, fentanyl testing and direct referrals to SUD treatment.

As fentanyl now appears in 77% of North Dakota overdose deaths, these services are increasingly critical to survival.

Fargo Cass Public Health Harm Reduction Center (HRC)

fargond.gov

Syringe services program (SSP) with sterile needle exchange Nasal and injectable naloxone (Narcan) distribution Fentanyl and xylazine test strips HIV and hepatitis C rapid testing Overdose response and naloxone administration training Peer support specialist on-site and referrals to SUD treatment Mental health services and housing

The Fargo Cass Public Health Harm Reduction Center is the primary community-based harm reduction site in the city. Since opening in 2018, the syringe services program has reversed more than 2,800 overdoses using naloxone provided to program participants (Fargo Cass Public Health, 2026).

In fact, from 2021 to 2024, new hepatitis C cases in Cass County declined by 67% following the program’s launch. The HRC also serves as a direct bridge to treatment, having made 940 referrals to SUD treatment programs through 2025.

NDSU ONE Program (Opioid and Naloxone Education)

ndsu.edu

Pharmacist-based opioid risk screening at 75+ community pharmacies statewide Naloxone dispensing to patients at elevated overdose risk, ONE Boxes (self-contained naloxone kits) deployed in public locations across Fargo Opioid safety education for patients Pharmacists, and community partners

Based at NDSU’s School of Pharmacy in Fargo, the ONE Program integrates overdose prevention into community pharmacy practice. With over $550,000 in opioid settlement grants awarded in 2025, the program is expanding rural methadone access, naloxone distribution at correctional facilities, and public-site naloxone deployment across North Dakota.

NEXT Harm Reduction / NEXT Distro (North Dakota)

nextdistro.org

free mail-based naloxone distribution to North Dakota residents overdose response training video and educational resources enrollment support for people unable to access in-person services

In partnership with the Grand Forks Health Department, NEXT Distro ships free naloxone in a plain bubble mailer to North Dakota residents who cannot access it through a pharmacy or local program. People who use drugs, recently incarcerated individuals and likely first responders to overdoses are the primary eligible population.

Fargo Cass Public Health Withdrawal Management Unit (WMU)

fargond.gov

Medically monitored withdrawal management with 24/7 staffing Staff trained in alcohol withdrawal recognition and management (CIWA-Ar protocol) Co-located with the Gladys Ray Shelter for people experiencing homelessness

The Withdrawal Management Unit operates within Fargo Cass Public Health’s harm reduction division, providing a lower-barrier stabilization option for individuals experiencing withdrawal, particularly alcohol withdrawal, who may not access hospital-based detox.

Its co-location with emergency shelter services makes it especially accessible for unhoused individuals in Fargo.

Detox Statistics in Fargo, North Dakota

Substance use trends in North Dakota have shifted sharply in recent years, with fentanyl now driving the majority of overdose deaths statewide.

The statistics below reflect the urgency facing Fargo and the broader North Dakota region.

77% of 2023 Overdose Deaths Involved Fentanyl:

In 2019, fentanyl was present in 42% of North Dakota’s unintentional drug overdose deaths. By 2023, that figure had risen to 77%, according to the ND Department of Health and Human Services’ Behavioral Health Division.

2,828 Overdose Reversals by Fargo's Harm Reduction Center Since 2018:

From April 2018 through April 2026, naloxone provided by the Fargo Cass Public Health Harm Reduction Center’s syringe services program saved a life 2,828 times, according to Fargo Cass Public Health.

78% of North Dakotans Needing SUD Treatment Did Not Receive It

As of the most recent national survey data, approximately 78% of North Dakota residents who needed substance use disorder treatment in the prior year did not receive it, indicating a persistent gap between need and access.

FAQs About Detox in Fargo, ND

Where can I find detox in Fargo, ND?

Fargo has several options for medically supervised detox. Prairie St. John’s offers inpatient medical detox and crisis stabilization at its Fargo campus. Additionally, the Southeast Human Service Center provides state-funded outpatient MAT and withdrawal support on a sliding scale.

Sanford Health and Essentia Health in Fargo also provide medically managed hospital-based detox for patients requiring acute withdrawal management. For an up-to-date list of licensed providers, visit the ND HHS Substance Abuse Treatment Programs directory at hhs.nd.gov.

Does North Dakota Medicaid cover detox?

Yes. North Dakota Medicaid covers medically supervised detox, inpatient residential SUD treatment, outpatient services and MAT for eligible individuals. Adults at or below 138% of the federal poverty level generally qualify through Medicaid expansion.

You can apply online at hhs.nd.gov or call 1-866-614-6005. Some services may require prior authorization; asking the facility’s admissions team to verify your benefits before intake can prevent delays.

Is medication-assisted treatment available in Fargo?

Multiple providers in Fargo prescribe MAT medications. The Southeast Human Service Center offers buprenorphine and naltrexone prescribing as part of its outpatient program. Whereas Community Medical Services Fargo provides MAT for opioid use disorder and accepts BCBSND and other major insurers.

Telehealth-based buprenorphine prescribers are also accessible for Fargo residents who prefer a remote option. Understanding your options for medication-assisted treatment before selecting a provider can help you find a program that matches your schedule and insurance.

What should I do if someone is overdosing in Fargo?

Call 911 immediately. North Dakota’s Good Samaritan law (NDCC 12.1-31.1-01) provides limited immunity from drug possession charges for people who call for overdose help in good faith.

If naloxone is available, administer it while waiting for emergency services.

Free naloxone is available at the Fargo Cass Public Health Harm Reduction Center without a prescription. As well, NDSU ONE Program boxes with naloxone are located at multiple public sites across Fargo.

What should I do if someone is overdosing in Fargo?

Call 911 immediately. North Dakota’s Good Samaritan law (NDCC 12.1-31.1-01) provides limited immunity from drug possession charges for people who call for overdose help in good faith.

If naloxone is available, administer it while waiting for emergency services.

What is the difference between inpatient and outpatient detox in Fargo?

Inpatient detox provides 24-hour medical supervision in a residential or hospital setting and is recommended for individuals with severe alcohol or benzodiazepine dependence, a history of withdrawal seizures, or co-occurring medical conditions.

Outpatient detox allows you to return home between appointments and is appropriate for people with milder withdrawal profiles and a stable home environment.

A clinical assessment at a licensed Fargo provider will determine which level of care is medically appropriate for your situation.

How do opioid settlement funds affect treatment access in Fargo?

North Dakota receives ongoing distributions from national opioid lawsuit settlements against pharmaceutical manufacturers. The state’s Opioid Settlement Advisory Committee oversees how these funds are allocated.

In fact, in 2025, ND HHS awarded multiple settlement grants to providers and public health programs, including the NDSU ONE Program and harm reduction services, to expand naloxone access, MAT capacity and treatment referrals.

These funds have directly supported services in the Fargo-Cass region and are expected to continue through at least 2027 alongside the state’s $4 million annual SAMHSA State Opioid Response grant.

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