Substance Use Treatment in San Francisco, CA

City and County of San Francisco

What Does City and County of San Francisco Offer?

City and County of San Francisco is a substance use treatment facility at 1380 Howard Street, 2nd Floor, San Francisco, California, offering outpatient treatment. It offers no-charge treatment. Medication treatment: buprenorphine and naltrexone.

Reviewed by Michael Rupe ·October 2, 2026

1380 Howard Street, 2nd Floor
San Francisco, CA 94103

Listed in SAMHSA's FindTreatment.gov, checked October 2026. A listing is not an endorsement. Call to confirm services, openings and costs before you go.

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Treatment facility (SAMHSA listing)This facility

Types of Care at City and County of San Francisco

Outpatient
Outpatient methadone/buprenorphine or naltrexone treatment
Regular outpatient treatment

Payment, Insurance and Help Paying

Federal, or any government funding for substance use treatment programs
No payment accepted

Medication Treatment

Buprenorphine maintenance
Prescribes buprenorphine
Prescribes naltrexone
Relapse prevention with naltrexone
Buprenorphine with naloxone
Buprenorphine without naloxone
Buprenorphine (extended-release, injectable)
Naltrexone (oral)
Naltrexone (extended-release, injectable)

Who the Program Serves

Young adults
Adult women
Adult men
Seniors or older adults
Veterans
Criminal justice (other than DUI/DWI)/Forensic clients
Clients with co-occurring mental and substance use disorders
Clients with HIV or AIDS
Clients who have experienced sexual abuse
Clients who have experienced intimate partner violence, domestic violence
Clients who have experienced trauma
Ages: Children/Adolescents
Ages: Young Adults
Ages: Adults
Ages: Seniors
Accepts: Female
Accepts: Male

Licensing and Accreditation

State substance use treatment agency
State department of health
Federally Qualified Health Center
Drug Enforcement Agency (DEA)

Treatment Approaches

Brief intervention
Cognitive behavioral therapy
Contingency management/motivational incentives
Motivational interviewing
Relapse prevention
Substance use disorder counseling
Telemedicine/telehealth therapy
Trauma-related counseling

Assessment, Recovery Support and Other Services

Comprehensive mental health assessment
Comprehensive substance use assessment
Interim services for clients
Outreach to persons in the community
Complete medical history/physical exam
Screening for tobacco use
Screening for substance use
Screening for mental disorders
Aftercare/continuing care
Discharge Planning
Naloxone and overdose education
Outcome follow-up after discharge
Housing services
Assistance with obtaining social services
Mentoring/peer support
Case management service
Mental health services
Transportation assistance
Suicide prevention services
Drug or alcohol urine screening

Before you commit, confirm openings, costs and the program's state license. How to choose a rehab you can trust lists the questions to ask when you call, and addiction treatment in California lists the state's treatment agency.