Keystone Treatment Center is a fully licensed addiction treatment provider located in Canton, South Dakota, offering detox, residential, outpatient and continuing care for adults and young adults. With over 50 years of experience, the center combines evidence-based therapies with culturally informed and 12-Step approaches in a peaceful semi-rural campus setting.

At Keystone, the treatment philosophy emphasizes individualized care, spiritual and cultural integration, and a holistic approach to recovery — from medically-monitored detox through outpatient and alumni support. Their residential program supports co-occurring disorders, gambling addiction, military service-related trauma and Native American traditions, offering robust specialty tracks alongside standard substance use programming. The campus setting offers structured therapy, outdoor recreation, and family involvement to support lasting change.

Center Overview

Location

1010 E 2nd St , Canton SD

Accreditation

Commission on Accreditation of Rehabilitation Facilities (CARF)

Founded

1973

ZIP Code

57013

Website

keystonetreatment.com

Primary Focus

1- Medically monitored detoxification
2- Residential inpatient treatment for adults and young adults
3- Outpatient and intensive outpatient (IOP) programs
4- Continuing care / aftercare & alumni support

Typical Program Length

Detox (medically monitored) , Residential inpatient treatment , Partial care/day treatment services , Intensive outpatient (IOP) / outpatient programs , Aftercare / alumni program

Phone Number

(877) 648-1347

Insurance Accepted

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Private Pay Option

Cash Pay Rates

If you are not using insurance, the pricing listed below is an estimate of the cash pay rate.

Staff will walk through insurance benefits and can assist with financial arrangements.

Prospective clients begin with an online assessment and intake; admissions staff assist with insurance verification, then an individualized treatment plan is created.

Staff Credentials:
Josh Merkley – Chief Executive Officer
Marsha Nelsen – Medical Director
Matt Lynch – Clinical Director
Terri Clark, DNP, RN – Director of Nursing
Success Rates or Outcomes:
No specific numeric success rate publicly listed. Alumni program notes “more than 50 years of experience helping individuals overcome their struggles with addiction.”

Executive Verified Listing

Rehab verified that the name, location, contact information and license to operate for this treatment provider are valid and up-to-date.

Joint Commission Accredited

Independent, third-party mental health resource. Verification does not imply endorsement and does not guarantee the quality of treatment services.

Meet your care team

Josh Merkley – Chief Executive Officer
Oversees leadership and strategic direction at Keystone Treatment Center.

Marsha Nelsen – Medical Director
Physician leading medical services including medically-monitored detox and ongoing psychiatric oversight.

Matt Lynch – Clinical Director
Responsible for clinical programming, the implementation of evidence-based therapies, and quality of care.

Terri Clark, DNP, RN – Director of Nursing
Leads the nursing team and ensures 24/7 nursing care in residential and detox settings.

Specialties

Young adult program
Native American program (culturally sensitive care)
Military/addiction program (veterans & service members)
Gambling addiction treatment
Co-occurring mental health and substance use disorders (dual diagnosis)

Therapies & Approaches

Cognitive Behavioral Therapy (CBT)
Dialectical Behavior Therapy (DBT)
12-Step model integration
Individual, group, family therapy
Experiential / recreational therapy (e.g., track, outdoors)
Spiritual and culturally integrated care (including Native-American purification ceremony “inipi”)

Amenities

30-acre semi-rural campus with outdoor recreation space
Gender-specific wings/units for residential treatment
Visiting hours/family support program
On-site dining, shared and private room options (per external listing)

Keystone Treatment Center

(877) 648-1347

Discover how Keystone’s detox

residential programs are structured on a 30-acre campus, combining 12-Step, CBT/DBT and
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Learn about Keystone’s specialty tracks

including for young adults, veterans/military, Native American clients and gambling addiction — each
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Explore how Keystone’s outpatient

continuing care programs provide flexible step-down options, supporting transition back into community life
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Gain insight into Keystone’s admissions

insurance process: experienced staff guide clients and families through benefits verification, treatment planning
Read More

Frequently Asked Questions

What does medical detox look like at Keystone? +

At Keystone Treatment Center, medically-monitored detox is available 24/7 under physician and nursing supervision, assuring safe withdrawal management before entering residential care. The staff includes addictionologists, psychiatrists and nurses to oversee the process.

How is family involvement handled? +

Family programs and support meetings are offered via the alumni program and dedicated Sunday visitor hours, enabling loved ones to engage in psycho-education and recovery support from the outset.

Does Keystone treat co-occurring mental health disorders? +

Yes. The facility treats individuals with substance use disorders who also have co-occurring psychiatric conditions, using integrated treatment plans that include therapy, medication management and culturally-sensitive care.

Is insurance accepted and how do I navigate payments? +

Keystone contracts with most major commercial plans, Medicaid (SD), TRICARE and veteran benefits; the admissions staff reviews your insurance coverage and assists with financial arrangements or self-payment options.

What makes the campus environment unique? +

The facility sits on a spacious semi-rural 30-acre campus with outdoor recreation, gender-specific wings, spiritual and cultural programming (including Native American sweat lodge ceremony), enabling clients to engage in healing with nature, reflection and community.

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