Drug & alcohol rehab centers in San Francisco, CA

Medically reviewed by Libby Pelligrini, MMS, PA-C Written by Natalie Baker, JD Law, MBA

79 treatment centers in and around San Francisco, reviewed against accreditation and licensing standards. Filter by level of care, what you can pay, and who the program is built for. Below the listings: what rehab costs here, how to pay for it, and a note from one of our experts.

44 outpatient programs
46 inpatient rehabs
23 detox clinics

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Featured centers in California

All 79 centers in San Francisco

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Thumbnail	Name	Address	Treatment	Insurance
	BAART Programs Market	1111 Market Street 1st Floor, San Francisco, CA 94103 BAART Programs’ Market Street clinic that provides treatments for mental health and substance abuse disorders. Located in San Francisco, California, the facility has been helping the community fight back against addiction and create new fulfilling lives. The clinic accepts Medicaid, Medi-Cal, private insurance, and self-pay options to make it easy for clients to enroll. Medication Assisted Treatment in Frisco The…	Detox Outpatient	Medicaid Private insurance
	The Salvation Army Harbor Light Center	1275 Harrison Street, San Francisco, CA 94103 Located in San Francisco, California, is the Salvation Army Harbor Light Center that has been helping individuals battle substance abuse and mental health disorders for over 70 years. The facility provides a faith-based rehab program and helps residents in the area who are homeless as well. They offer traditional housing services as well as residential care. For extreme cases they…	Detox Inpatient	Private insurance
	Delancey Street Foundation	600 The Embarcadero, San Francisco, CA 94107 Delancey Street Foundation is a residential self help addiction recovery community in San Francisco, California. They serve adults working to overcome substance use and other major life challenges. This peer run, no cost program combines long term residential support with housing, food, clothing, education and vocational training. People who received treatment often describe the experience as transformational. They credit this…	Detox Inpatient Outpatient	Private insurance
	Cityteam	164 6th Street, San Francisco, CA 94103 Located in San Francisco, California is City Team, a nonprofit organization that provides a continuum of services to help marginalized individuals in the community including individuals who are experiencing homelessness and those who are uninsured. If you're struggling with drug or alcohol use, residential care here can help you take a positive step forward in your recovery journey. The San…	Inpatient Men
	Fort Help Mission	1101 Capp Street, San Francisco, CA 94110 Fort Help Mission is in San Francisco, California, and can be a supportive place for people trying to get their lives back from addiction. Run by American Health Services, this outpatient clinic works to understand each person's unique situation, especially those engaged in narcotics replacement therapy. It’s open every day, including holidays and weekends. Real Help, Right Here One thing…	Detox Outpatient	Medicaid Private insurance
Overwhelmed by the list? That’s normal. Tell a specialist your situation and insurance and get two or three centers that fit, usually in one call. No obligation. Call 800-785-0495
	Epiphany Center	100 Masonic Avenue, San Francisco, CA 94118 Epiphany Center offers substance abuse treatment for marginalized women 18 and older and their families in San Francisco, California. The goal is to strengthen families with holistic treatment deeply rooted in Catholic and Judeo-Christian beliefs. Clients must be residents of San Francisco to obtain admission into the program. Client-Centered Care Since one of the goals of the program is to…	Inpatient Women
	Fort Help Methadone Program	915 Bryant Street, San Francisco, CA 94103 Navigating the world of addiction recovery can feel overwhelming, but places like Fort Help Methadone Program in San Francisco, California, seem to truly get it. This spot, part of American Health Services, isn't just another clinic. It's designed to be a supportive springboard for adults ready to tackle opioid use disorder head-on, all while letting them keep their lives relatively…	Detox Outpatient
	Foundations San Francisco	1700 Montgomery Street Ste 435, San Francisco, CA 94111 Foundations San Francisco provides addiction and mental health treatment for adults in San Francisco's Embarcadero district. Open 24 hours, the program treats substance use disorders and co-occurring mental health conditions using traditional therapies alongside holistic offerings such as yoga, mindfulness and art therapy. Foundations San Francisco delivers confidential and compassionate care designed to give you the space and support to…	Outpatient	Private insurance
	Friendship House San Francisco Healing Center	56 Julian Avenue, San Francisco, CA 94103 Friendship House Association of American Indians is a substance use treatment provider in San Francisco, California, offering culturally responsive care rooted in the healing traditions of the urban Native American community. The program provides residential treatment for men, a women's residential program, outpatient services for adults and supportive services like housing, case management and recovery support. Clients value the structured,…	Inpatient	Private insurance
	HealthRight 360 FOTEP	1318 Gateview Avenue, San Francisco, CA 94130 The Walden House of HealthRight 360 in San Francisco, California, was established in 1969 to help homeless adults and runaway teenagers with their substance use issues. Today the house offers treatment services including residential, outpatient, and custody based. Their Treasure Island Step Down program has a men’s center on Gateview Avenue. It’s not too far from the Bay or GAA…	Inpatient Women
	Kaiser Permanente Addiction Medicine and Recovery Services	1201 Fillmore Street, San Francisco, CA 94115 Right in the heart of San Francisco, California’s Fillmore District, you’ll find Kaiser Permanente’s Addiction Medicine and Recovery Services. Instead of offering a single path forward, they’ve built out a whole network of support that bends and grows with you. Whether you’re balancing school, work, parenting or just trying to make it through the day, this program gives you options…	Detox Outpatient	Private insurance
	Ohlhoff Recovery Programs	601 Steiner Street, San Francisco, CA 94117 Ohlhoff Recovery Programs is an addiction treatment provider serving San Francisco from a historic campus near Alamo Square. The organization offers a full continuum of care for substance use disorders and continuing care for adults, with specialized support for adolescents and families. Ohlhoff takes a personalized, holistic approach grounded in 12-step principles, trauma-informed practices and therapies that address both chemical…	Detox Inpatient Men	Private insurance
	San Francisco AIDS Foundation	940 Howard Street, San Francisco, CA 94103 Right in the heart of the Castro, San Francisco AIDS Foundation’s Substance Health program is showing what compassionate, nonjudgmental support really looks like in San Francisco, California. It’s not too far off from Oracle Park and the inner bay where Treasure Island is located. They specialize in working with queer, gay, bisexual and same-gender-loving men. They also serve trans and…	Detox Outpatient Men	Medicaid Private insurance
	Walden House Inc	890 Hayes Street, San Francisco, CA 94117 In San Francisco, California Walden House runs a residential rehab center for adult men only. The organization started in the city's Haight Ashbury in 1969 and helped homeless and runaway teenagers with substance use problems. It's been a part of HealthRIGHT 360 since a 2011 merger. Residential Care for Men They don't provide medical detox, so if you need withdrawal management, that…	Inpatient Men
	Latino Alcohol and Drug Abuse Services	635 Brunswick Street, Administration - Suite 307, San Francisco, CA 94112 The Latino Commission, in San Bruno, California, offers mental and behavioral health care services for adults, including inpatient, outpatient, and aftercare programming. They provide medical and mental health assessments, personalized care planning, case management, and specialized programming for young adults, families, and persons with co-occurring addiction and mental illness. Programs are available in both Spanish and English. Their primary treatment…	Inpatient Outpatient Women	Medicaid Private insurance
	Marina Harbor Detox	289 Marina Blvd, San Francisco, CA 94123 People who need medical detox in San Francisco, California can receive care at Marina Harbor Detox, an addiction treatment center in San Francisco with six beds, all of them in private rooms. Withdrawal care and residential treatment are included at the same center, and these beds are available for people from across Northern California. Medical Detox and Residential Care During…	Detox Inpatient Outpatient	Private insurance
	Ria Health	1390 Market St Suite 200, San Francisco, CA 94102 Ria Health is a telehealth addiction treatment provider specializing in an online program for adults across California and multiple U.S. states to help people reduce or stop drinking. The program treats alcohol use disorder and alcohol misuse using medications, cognitive behavioral therapy, motivational interviewing and recovery coaching. By framing alcohol misuse as a medical condition Ria Health offers private, flexible…	Detox Inpatient Outpatient	Private insurance
	OBOT Buprenorphine Induction Clinic	1380 Howard St fl 2, San Francisco, CA 94103 OBIC (OBOT Buprenorphine Induction Clinic) is an outpatient addiction treatment program in San Francisco, California, specializing in medication assisted treatment for opioid use disorder. Part of UCSF's Division of Substance Use and Addiction Medicine at Zuckerberg San Francisco General Hospital, OBIC offers office based buprenorphine induction, outpatient detoxification and stabilization services. With a strong harm reduction philosophy, the clinic helps…	Detox Inpatient Outpatient	Private insurance
	Good Shepherd Gracenter	1310 Bacon Street, San Francisco, CA 94134 If you’ve ever wished for a place that feels like a real home and not a hospital or a shelter, the Good Shepherd Gracenter in San Francisco, California should be your next step. It’s by the Louis Sutter Playground and the larger John McLaren Park. They’re all about providing you a calm and steady space to help you focus on…	Inpatient Women	Private insurance
	Friendship House Association - American	56 Julian Ave, San Francisco, CA 94103 Friendship House Association – American is a rehab located in San Francisco, California. Friendship House Association – American specializes in the treatment of addiction.	Detox Inpatient Outpatient	Private insurance
	BAART Programs Turk Street	433 Turk Street, San Francisco, CA 94102 The BAART Program network provides outpatient drug rehab and co-occurring mental health services for persons with opioid use issues. They have a clinic on Turk Street in San Francisco, California. They offer medication assisted treatment, case management services, relapse prevention, counseling, and referrals to community resources.	Detox Outpatient	Medicaid Private insurance
	Bayview Hunters Point Foundation Substance Abuse Programs	1625 Carroll Avenue, San Francisco, CA 94124 Bayview Hunters Point Foundation Substance Abuse Programs is an outpatient drug and alcohol treatment provider in San Francisco, California, offering methadone maintenance, substance use counseling and integrated behavioral health services. Located at 1625 Carroll Avenue in the Bayview Hunters Point neighborhood, the program serves adults seeking recovery from opioid and other substance use. As a historic, community rooted organization founded…	Detox Outpatient	Medicaid
	Bayview Hunters Point Foundation	1625 Carroll Avenue, San Francisco, CA 94124 Bayview Hunters Point Foundation in San Francisco's Bayview neighborhood provides outpatient behavioral health and substance use disorder treatment. Its programs include outpatient methadone maintenance, counseling and co-occurring mental health support for adults and young adults. As a historic organization the Foundation is rooted in a mission of healing, empowerment and justice for San Francisco's diverse communities. Recovery and Methadone Maintenance…	Outpatient
	Epiphany House Residential	100 Masonic Avenue, San Francisco, CA 94118 Epiphany House Residential is a women's addiction treatment center in San Francisco, California, offering residential recovery, transitional housing and intensive outpatient services for women and their families. Located at 100 Masonic Avenue, this nonprofit program founded by the Daughters of Charity supports women facing addiction, homelessness, domestic violence and family disruption. Epiphany House delivers holistic, trauma focused and family centered…	Inpatient Women	Medicaid
	Felton Institute	1500 Franklin Street, San Francisco, CA 94109 Felton Institute is a nonprofit behavioral health and substance use treatment provider in San Francisco, California, offering outpatient services for adults, seniors and transitional-age youth. Located off Franklin Street in the Cathedral Hill neighborhood, this San Francisco headquarters delivers evidence based mental health and addiction-related care alongside wraparound social services. Founded in 1889, Felton focuses on accessible, person-centered support for…	Outpatient

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Natalie Baker, JD Law, MBA

National Account Representative for MRC

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Expert insight

“Every resident in these districts should be carrying at least one dose of narcan, a medication known as the “anti-overdose drug.”

You know a drug is dangerous when most addicted locals make a concerted effort to avoid it. But that hasn’t stopped a deadly new drug from making its way to the streets of San Francisco. Isotonitazene, known as ISO, is a synthetic opioid that’s over 20 times more potent than fentanyl. Drug dealers are adding ISO to other products that are sold around the city. In fact, according to the DEA, lab tests show ISO is mainly being added to heroin, fentanyl, and pressed into fake prescription pills. The Tenderloin and SoMa districts are now ground zero for a fatal overdose epidemic that shows no end in sight. This is why it’s so important that we provide narcan to all local residents, whether it’s someone who abuses opioids or knows someone who abuses opioids. Narcan is the one tool we have at our disposal that can quite literally save lives.

Frequently asked questions

What to know about rehab in San Francisco

How We Rank Listings

Every facility in our San Francisco directory is independently reviewed before it appears on this page. We verify state licensing through the California Department of Health Care Services (DHCS), confirm accreditation status with The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF), and cross-check details with each provider directly.

Our editorial team prioritizes accuracy and patient safety over advertising relationships. Listings are not ranked by payment. Facilities are organized to help families compare options on the factors that matter most: level of care, accepted insurance and payment types, specialty programs, and accreditation.

State licensing verified through California DHCS
Accreditation confirmed with The Joint Commission and CARF
Level of care, insurance, and program details cross-checked directly with providers
Listings updated on a recurring schedule and corrected as facilities report changes

Rehab in San Francisco: What to Know

San Francisco is a consolidated city and county, so the local treatment system, the data, and the policy response are organized at one level rather than spread across municipal and county agencies. There are 78 licensed rehab facilities operating in San Francisco, ranging from withdrawal management programs and inpatient residential treatment to outpatient clinics, sober living homes, and dual-diagnosis programs.

Most of the city's publicly funded substance use system runs through the San Francisco Department of Public Health (SFDPH) Behavioral Health Services division, with private and nonprofit providers filling out the rest of the network. For a broader view of options outside the city, the California state rehab directory covers facilities across the wider region.

The system has a single entry for people who need help navigating it. The Behavioral Health Access Center (BHAC) at 1380 Howard Street, operated by SFDPH, can assess and authorize placement into outpatient, intensive outpatient, residential, withdrawal management, medication-assisted treatment, and crisis stabilization programs. BHAC also runs a 24/7 Behavioral Health Access Line at 888-246-3333, staffed in English, Spanish, Cantonese, Mandarin, and Vietnamese, that connects San Franciscans to addiction treatment options regardless of insurance status. FindTreatmentSF.org publishes near real-time availability for residential and crisis beds across the city's contracted providers.

Fentanyl is the defining context for San Francisco's treatment landscape. The city recorded 810 accidental overdose deaths in 2023, the deadliest year on record, before declining to 635 deaths in 2024 as SFDPH expanded telehealth-based medication treatment, naloxone distribution through the Drug Overdose Prevention and Education (DOPE) Project, and the Bridge Clinic at Zuckerberg San Francisco General Hospital.

More than 80% of those deaths involved fentanyl, and the city continues to see overdoses involving stimulants and emerging adulterants such as xylazine and bromazolam. The treatment infrastructure has been retooled around that reality, with low-barrier to buprenorphine access, on-demand telehealth induction, and expanded residential capacity.

San Francisco is also a major regional hub for specialty programs. The city anchors a network of LGBTQ+ affirming providers, women's-specific residential treatment, programs that serve people experiencing homelessness, and one of the largest VA health care systems in Northern California. Treatment is geographically accessible by BART and Muni for most neighborhoods, and many providers cluster in SoMa, the Mission, the Tenderloin, and the Western Addition.

Cost of Rehab in San Francisco

The cost of rehab in San Francisco depends primarily on the level of care, the length of the program, and whether the facility is in-network with health insurance. California-wide averages give the clearest baseline. Because San Francisco has one of the highest costs of living in the country, list-price treatment in the city typically lands at or above the state average, particularly for residential and medical detox programs. Most San Franciscans pay far less than the sticker price by using private insurance, Medi-Cal, or sliding-scale and free city-funded programs.

These figures represent the full self-pay cost of treatment without insurance and include residential and medical detox programs that pull the average upward. Many factors push individual costs above or below these averages, including the program's amenities, the length of stay, and whether the facility is in-network with the patient's health insurance plan.

Treatment setting inpatient, residential, partial hospitalization, or outpatient

Length of program 28, 60, or 90 days, or longer

Health insurance plan and in-network status

Eligibility for Medi-Cal, sliding-scale fees, or scholarships

Amenities and program features private rooms, holistic services, executive accommodations

Medical services included supervised withdrawal management, MAT, psychiatric care

Location within the city and demand for limited residential beds

How to Pay for Rehab in San Francisco

The 78 facilities in San Francisco accept a wide mix of payment types. Self-payment, private insurance, Medi-Cal, and Medicare are the four most common, but most programs also offer sliding-scale fees, financial assistance, or financing for patients who do not qualify for public coverage and cannot afford the full self-pay price. The chart below shows how many facilities in the directory accept each payment type.

Coverage details vary widely by program and patient eligibility, so the best first step is to call the facility directly or use the Behavioral Health Access Line at 888-246-3333 to confirm what your plan will pay for.

Medicare

Twenty-six facilities in San Francisco accept Medicare. Original Medicare (Parts A and B) covers medically necessary inpatient detox and rehab, outpatient counseling, partial hospitalization, and medication-assisted treatment through Part D prescription drug plans.

Medicare Advantage (Part C) plans bundle these benefits and often add coverage for additional services. Most patients still pay a portion of the cost in the form of deductibles, copays, and coinsurance, but supplemental Medigap policies can reduce out-of-pocket expenses. Learn more about verifying your rehab benefits before admission.

Medicaid (Medi-Cal)

Thirty-seven facilities in San Francisco accept Medi-Cal, California's Medicaid program. San Francisco participates in the state's Drug Medi-Cal Organized Delivery System (DMC-ODS), a 1115 waiver program that broadens Medi-Cal coverage for substance use disorder services to include outpatient and intensive outpatient treatment, residential treatment in facilities larger than the federal IMD exclusion would normally allow, withdrawal management, case management, and recovery support services.

Medi-Cal covers FDA-approved medication-assisted treatment for opioid use disorder without prior authorization, including buprenorphine and methadone, and the state has expanded contingency management for stimulant use disorder as a Medi-Cal benefit.

Military Benefits

Nine facilities in San Francisco accept TRICARE, which covers active-duty service members, retirees, and their families. The San Francisco VA Health Care System operates inpatient, outpatient, and residential substance use treatment at the San Francisco VA Medical Center on Clement Street and at community-based outpatient clinics across the region.

Eligible veterans can also access the VA's Harm Reduction and Syringe Services Program and free naloxone vending machines at multiple VA sites. The Vet Center provides confidential counseling at no cost, including for veterans not enrolled in VA health care. For more information on benefits and program eligibility, see additional rehab resources for veterans and military families.

Insurance and Private Pay

Thirty-six facilities accept private health insurance, and 65 accept self-payment. Mental health and substance use disorder care are essential health benefits under the Affordable Care Act, which means individual and group plans sold in California must cover treatment at parity with other medical care. Coverage details, in-network providers, deductibles, and prior authorization requirements vary by carrier and plan. Major insurance carriers in California include:

Aetna
Anthem Blue Cross
Blue Shield of California
Chinese Community Health Plan
Cigna
Health Net
Kaiser Permanente
San Francisco Health Plan
UnitedHealthcare

Other Low-Cost Options

For patients who do not qualify for Medi-Cal or Medicare and do not have private insurance, 29 San Francisco facilities offer sliding-scale fees based on income, 39 offer financial assistance, and 28 offer financing arrangements.

Many SFDPH-contracted programs are available at no cost to San Francisco residents who meet eligibility criteria, and the Behavioral Health Access Center can help patients understand what is available before they commit to a program.

Free Treatment Programs

Eight facilities in San Francisco offer free treatment to all clients, and additional city- and county-funded programs are available at no cost to qualifying residents through SFDPH. The Salvation Army Recovery Program, faith-based residential programs, and several community organizations also offer free or low-cost beds funded by donations and grants.

Rehab scholarships and grant-funded scholarship beds at private programs are another option for people without coverage. Most free programs have waitlists, so calling early and being open to multiple options shortens the time to admission.

Levels of Care Available in San Francisco

San Francisco offers a full continuum of care across the city's 78 licensed facilities, including 23 medical detox programs, 45 inpatient and residential programs, 43 outpatient clinics, and 60 dual-diagnosis programs that treat substance use and co-occurring mental health conditions together.

Medical Detox

Medical detox is the first phase of treatment for people with physical dependence on alcohol, opioids, benzodiazepines, or other substances that produce dangerous withdrawal symptoms. Clinical staff monitor vital signs around the clock, manage withdrawal with medication when appropriate, and stabilize patients medically before they transition to ongoing rehab.

Most detox programs run 5 to 10 days. In San Francisco, low-barrier withdrawal management is available through HR360, the SoMa RISE sobering center, the Alcohol Sobering Center on Mission Street, and several hospital-based programs.

Inpatient and Residential Rehab

Inpatient and residential treatment programs provide 24-hour care in a structured environment, with daily individual and group therapy, medication management, recovery skill-building, and clinical supervision. Programs typically last 28 to 90 days, with longer stays for people with severe substance use disorders or co-occurring mental health conditions. Residential admissions in San Francisco grew sharply between Fiscal Year 2022-23 and Fiscal Year 2023-24 as the city expanded contracted bed capacity through SFDPH.

Partial Hospitalization Programs

San Francisco has 4 partial hospitalization programs. PHPs run during the day, typically 5 to 6 hours per day, 5 days per week, and offer a level of structure comparable to residential treatment without the overnight stay. Patients live at home or in sober living and attend treatment during the day. PHPs are often used as a step down from inpatient or detox, or as a step up from standard outpatient when symptoms intensify.

Standard Outpatient

Forty-three outpatient clinics in San Francisco offer treatment that fits around work, school, and family responsibilities. Most programs combine weekly individual addiction therapy with group sessions, medication management, and case management. Outpatient is the most common point of entry for people with mild to moderate substance use disorders or those stepping down from a higher level of care. Methadone clinics and buprenorphine programs at the SFDPH Behavioral Health Services Pharmacy, BAART, Westside Methadone, the Bridge Clinic, and HealthRight 360 fall into this category.

Dual Diagnosis and Co-Occurring Care

Sixty facilities in San Francisco treat co-occurring substance use and mental health conditions in an integrated way. Co-occurring care is the standard of care for most people seeking treatment because untreated depression, anxiety, trauma, or psychosis often drives ongoing substance use. Integrated programs address both conditions in a single treatment plan, with psychiatry, medication management, and trauma-informed therapy alongside addiction treatment.

Sober Living

Seventeen sober living homes operate in San Francisco. Sober living provides drug- and alcohol-free housing for people in early recovery, typically after residential or PHP treatment, and supports the transition back to independent living. Residents pay weekly or monthly rent and follow house rules that may include curfews, drug testing, and required attendance at recovery meetings. Sober living is often combined with outpatient treatment or 12-step participation as part of long-term rehab aftercare.

Specialty Programs in San Francisco

San Francisco has one of the most diverse specialty program networks in the country, with facilities serving women, men, LGBTQ+ adults, veterans and military families, young adults, and older adults. Programs targeting opioid and alcohol use disorder specifically are widespread, reflecting both the city's fentanyl crisis and the long-standing burden of alcohol use disorder in the Bay Area.

Specialty programming matters because shared identity and lived experience strengthen treatment engagement and retention. People are more likely to disclose, stay in care, and complete a program when clinicians and peers understand their cultural, gender, or life-stage context.

Free and Low-Cost Rehab Resources in San Francisco

San Francisco residents have access to a broad network of free and low-cost mental health and substance use resources funded by the city, the state, and community-based nonprofits. The list below covers the most direct points of entry. For broader navigation, dial 211 or call the SFDPH Behavioral Health Access Line at 888-246-3333.

Crisis Lines

988 Suicide and Crisis Lifeline — Call or text 988. Free, confidential, 24/7 support for anyone experiencing a mental health or substance use crisis. Veterans, press 1. See additional suicide prevention resources.
SF Comprehensive Crisis — 628-217-7000. Mobile crisis response for adults and youth, 24/7. https://www.sf.gov/information--get-help-mental-health-or-substance-use
Psychiatric Emergency Services (PES) — Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, 628-206-8125. 24/7 walk-in psychiatric emergency care. https://www.zuckerbergsanfranciscogeneral.org/
SAMHSA National Helpline — 1-800-662-HELP (4357). Free, confidential, 24/7, in English and Spanish. National referral for substance use and mental health services. https://www.samhsa.gov/find-help/helplines/national-helpline

County Health Department and Access Points

Behavioral Health Access Center (BHAC) — 1380 Howard Street, 1st Floor. Drop-in Monday through Friday 8 a.m. to 7 p.m., Saturday and Sunday 9 a.m. to 4 p.m. Access Line 888-246-3333, 24/7. https://www.sf.gov/location--behavioral-health-access-center-bhac
SFDPH Behavioral Health Services Pharmacy — 1380 Howard Street. Free naloxone, fentanyl test strips, and medications for opioid use disorder. Weekend hours available. https://www.sf.gov/location--behavioral-health-services-pharmacy
FindTreatmentSF.org — Near real-time directory of residential, withdrawal management, and crisis stabilization bed availability across SF's contracted providers. FindTreatmentSF.org
2-1-1 Bay Area — Dial 211 or text your ZIP code to 898211. Free, confidential, 24/7 referral service for health and human services in over 150 languages. https://211bayarea.org/

Community and Nonprofit Programs

HealthRight 360 — 1563 Mission Street, 415-967-5334. Withdrawal management, residential treatment, outpatient, and buprenorphine services. https://www.healthright360.org/
Glide Foundation Harm Reduction Services — 330 Ellis Street, 415-674-6000. Drop-in services, harm reduction supplies, and contingency management programs. https://www.glide.org/
Salvation Army Harbor Light Center — 42 McLea Court, 415-503-3072. Residential recovery program with daytime and evening hours. https://sanfranciscoharborlight.salvationarmy.org/
San Francisco AIDS Foundation Syringe Access Services — Free naloxone, fentanyl test strips, and harm reduction supplies. There are multiple locations across the city. https://www.sfaf.org/
Dore Urgent Care — 52 Dore Street, 415-553-3100. 24/7 urgent care for people experiencing mental health and substance use challenges. https://www.progressfoundation.org/

Harm Reduction

Drug Overdose Prevention and Education (DOPE) Project — The largest single-city naloxone distribution program in the United States, operated by the National Harm Reduction Coalition with SFDPH funding. Free naloxone training and supplies through partner sites across the city. https://harmreduction.org/our-work/action/dope-project-san-francisco/
Soma RISE — 1076 Howard Street, 650-781-6720. 24/7 sobering and stabilization center. https://www.sf.gov/soma-rise-center
Alcohol Sobering Center — 1185 Mission Street, 415-734-4227. Drop-in alcohol sobering services. https://www.sfserviceguide.org/services/3381

Veterans and Military

San Francisco VA Medical Center — 4150 Clement Street, 415-221-4810. Inpatient, outpatient, and residential substance use disorder treatment, plus a Harm Reduction and Syringe Services Program with free naloxone vending machines on site. https://www.va.gov/san-francisco-health-care/locations/san-francisco-va-medical-center/
San Francisco Vet Center — 415-441-5051. Confidential counseling for veterans, service members, and their families, including services for those not enrolled in VA health care. https://www.va.gov/san-francisco-vet-center/
Veterans Crisis Line — Dial 988 and press 1, or text 838255. 24/7 confidential support. https://www.veteranscrisisline.net/

Government and Medi-Cal

California Department of Health Care Services (DHCS) — Administers Medi-Cal and the Drug Medi-Cal Organized Delivery System. Apply for Medi-Cal at BenefitsCal.com or in person at the San Francisco Human Services Agency, 1235 Mission Street. https://www.dhcs.ca.gov/
San Francisco Health Plan — 415-547-7800. Local Medi-Cal managed care plan serving San Francisco residents. https://www.sfhp.org/
SAMHSA Findtreatment.gov — National searchable directory of licensed and accredited treatment facilities. https://findtreatment.gov/

Drug and Alcohol Use Statistics in San Francisco

San Francisco's overdose crisis is the central public health story shaping the city's treatment system. After three years of a rising number of fatal overdoses culminating in a record 810 deaths in 2023, the city saw a sharp reversal in 2024 as expanded medication-assisted treatment, naloxone distribution, and residential admissions began to compound.

The overdose decline tracks with parallel growth in opioid use disorder treatment engagement. SFDPH reported a 32% increase in methadone treatment admissions and a 48% increase in new clients receiving buprenorphine in the first seven months of 2024 compared to the same period in 2023.

The city also became the first in California to offer on-demand telehealth buprenorphine prescriptions through its Nighttime Telehealth Program, which has facilitated more than 1,650 telehealth visits and started approximately 40% of clients on medication treatment since launching in March 2024. National context for these figures is available through aggregated substance use statistics.

Medical reviewer

Libby Pelligrini, MMS, PA-C

Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…

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Author

Natalie Baker, JD Law, MBA

Natalie Baker is a freelance writer and a former practicing attorney who enjoys helping other women reach their potential. She also serves as a Co-Editor for the DRI Young Lawyers’ Raising the Bar publication and was the 2019 Marketing Chair…

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Behavioral Addictions