North Dakota · data as of October 7, 2026
North Dakota addiction treatment deserts
296,207 North Dakota residents live 30+ miles from medical detox, 37% of the state. 34 of 53 counties have no treatment program of any kind inside the county line. For methadone the number is 303,000 people (38%).
296,207people 30+ mi from detox
303,000people 30+ mi from methadone
34counties with no program
#4of 51 (#1 = worst detox access)
Longest trips
- The county farthest from detox is Bowman County, about 107 mi from Providence House LLC in Arnegard.
- The longest trip to a methadone clinic is from Golden Valley County: about 150 mi to Bismarck, ND.
- 46 of 53 counties are more than 30 miles from medical detox; 46 are more than 30 miles from a methadone clinic.
- 41 counties are more than 15 miles from any listed buprenorphine (Suboxone) provider.
Counties farthest from medical detox
| County | Population | Miles | Nearest detox |
|---|---|---|---|
| Bowman County | 2,886 | 107 mi | Providence House LLC, Arnegard ND |
| Adams County | 2,141 | 102 mi | Heartview Foundation, Bismarck ND |
| Benson County | 5,756 | 100 mi | EOSIS Northern Plains, East Grand Forks MN |
| Towner County | 2,051 | 98 mi | North Central Human Service Center, Minot ND |
| Eddy County | 2,309 | 97 mi | EOSIS Northern Plains, East Grand Forks MN |
| Foster County | 3,323 | 93 mi | New Freedom Center, Bismarck ND |
| Slope County | 660 | 90 mi | Providence House LLC, Arnegard ND |
| Stutsman County | 21,546 | 89 mi | Dacotah Foundation, Fargo ND |
| Hettinger County | 2,419 | 88 mi | Heartview Foundation, Bismarck ND |
| Cavalier County | 3,567 | 86 mi | EOSIS Northern Plains, East Grand Forks MN |
| Ramsey County | 11,510 | 86 mi | EOSIS Northern Plains, East Grand Forks MN |
| Dickey County | 4,930 | 86 mi | Dacotah Foundation, Fargo ND |
| LaMoure County | 4,051 | 84 mi | Dacotah Foundation, Fargo ND |
| Rolette County | 11,692 | 80 mi | North Central Human Service Center, Minot ND |
| Divide County | 2,124 | 80 mi | Providence House LLC, Arnegard ND |
Counties farthest from a methadone clinic
| County | Population | Miles | Nearest OTP |
|---|---|---|---|
| Golden Valley County | 1,795 | 150 mi | Heartview Foundation, Bismarck ND |
| Bowman County | 2,886 | 131 mi | Heartview Foundation, Bismarck ND |
| Slope County | 660 | 128 mi | Heartview Foundation, Bismarck ND |
| Billings County | 1,063 | 120 mi | Heartview Foundation, Bismarck ND |
| Williams County | 40,763 | 105 mi | Community Medical Services, Minot ND |
| Adams County | 2,141 | 102 mi | Heartview Foundation, Bismarck ND |
| Divide County | 2,124 | 102 mi | Community Medical Services, Minot ND |
| Towner County | 2,051 | 97 mi | Community Medical Services, Minot ND |
| Benson County | 5,756 | 97 mi | Community Medical Services Montana-Private, LLC, Grand Forks ND |
| Stark County | 33,767 | 94 mi | Heartview Foundation, Bismarck ND |
| McKenzie County | 14,782 | 94 mi | Community Medical Services- Minot, Minot ND |
| Foster County | 3,323 | 94 mi | Heartview Foundation, Bismarck ND |
| Eddy County | 2,309 | 94 mi | Community Medical Services Montana-Private, LLC, Grand Forks ND |
| Stutsman County | 21,546 | 90 mi | Community Medical Services, Fargo ND |
| Dickey County | 4,930 | 89 mi | Community Medical Services, Fargo ND |
Using these numbers
Free to republish with a link to this page. Download the North Dakota county CSV or the full U.S. dataset.
FindRehabMap, "North Dakota addiction treatment deserts", 2026. https://findrehabmap.com/north-dakota/treatment-deserts/
Want one county on your page? Use the embed card. For a cut by legislative district or a different mileage cutoff, email [email protected].
Method
Program locations: SAMHSA FindTreatment.gov. Population centers (2020) and population estimates (2024): U.S. Census Bureau. Distances are straight-line from each county's population center; real driving distances are longer. See the full methodology.