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South Dakota Indian tribes have a unique cultural profile as well as a unique mix of governing authorities and health care options. This page is a guide to “who’s who” both on the reservation and off, as well as to resources, services, materials, and training developed specifically by and for South Dakota’s Tribal residents.

Pipe-smoking has been a traditional part of American Indian religious ceremony for as long as anyone can remember, but tribal elders are clear that any type of smoking is for spiritual ceremony and must not be confused with frivolous and/or addictive tobacco consumption.

Keep it Sacred