Quick answer
San Francisco recorded 635 accidental overdose deaths in 2024, down from 810 in 2023. Within 30 miles of San Francisco, FindTreatment.gov lists 99 substance use facilities, including 26 offering detoxification. Here is how to start treatment.
Last updated: Thu Oct 08 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
San Francisco is a consolidated city and county on the San Francisco Peninsula. Within 30 miles of downtown San Francisco, the federal treatment locator lists 99 substance use facilities, from medical detox to outpatient medication clinics. This guide covers the local overdose numbers, the public front door for treatment, and how to pay for care.
What the local overdose data show
The San Francisco Office of the Chief Medical Examiner reports 635 accidental overdose deaths in 2024, down from 810 in 2023, and a preliminary 621 in 2025, the lowest annual count since 2020. Fentanyl drives most deaths, often in combination with methamphetamine or cocaine.
Treatment near San Francisco by the numbers
The SAMHSA treatment locator lists 99 substance use facilities within 30 miles of downtown San Francisco (ZIP 94102):
- 26 offering detoxification (withdrawal management)
- 39 with residential programs
- 63 offering outpatient services
- 18 federally certified opioid treatment programs (methadone clinics) and 37 that prescribe buprenorphine
- 33 that administer or prescribe medication for alcohol use disorder
The 30-mile radius also reaches Oakland, the East Bay, and the northern Peninsula. Counts change as programs open and close, so confirm current openings by phone.
Who provides public treatment in San Francisco
The San Francisco Department of Public Health's Behavioral Health Access Center at 1380 Howard Street and its Behavioral Health Access Line at 1-888-246-3333 (24/7) handle assessment and placement into the city's public treatment network, including for people who are uninsured.
You can also search findtreatment.gov from ZIP code 94102 and filter by level of care, medication, and payment option.
Levels of care to expect
Care is matched to the person, usually after an assessment. Options near San Francisco range from medically supervised detox and residential treatment to intensive outpatient programs, regular outpatient counseling, and medication for opioid or alcohol use disorder. Alcohol and benzodiazepine withdrawal can be dangerous, so ask about medical withdrawal management before stopping heavy use.
Paying for treatment
California expanded Medi-Cal to most low-income adults. Medi-Cal covers medically necessary substance use disorder treatment through participating providers, and San Francisco delivers it through a Drug Medi-Cal Organized Delivery System run by the Department of Public Health. The Behavioral Health Access Center is the usual front door for Medi-Cal members and uninsured residents.
If you have private insurance, federal parity rules require your plan to cover substance use treatment on terms comparable to medical care; ask about in-network programs and prior authorization. If you are uninsured, ask the Behavioral Health Access Line about publicly funded programs or help applying for Medi-Cal.
How to start today
- In a medical emergency, call 911. For a mental health or substance use crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Call the Behavioral Health Access Line at 1-888-246-3333, or search findtreatment.gov from ZIP code 94102 to compare programs.
- If someone uses opioids, keep naloxone (Narcan) on hand. Pharmacies can dispense it without a prescription.
Treatment by substance in San Francisco
Questions about rehab in San Francisco
How many addiction treatment facilities are near San Francisco?
The SAMHSA FindTreatment.gov locator lists 99 substance use treatment facilities within 30 miles of downtown San Francisco, including 26 offering detoxification, 39 with residential programs, and 63 offering outpatient care. Counts change as programs open and close.
How many people die of drug overdose in San Francisco?
The San Francisco Office of the Chief Medical Examiner reports 635 accidental overdose deaths in 2024, down from 810 in 2023, and a preliminary 621 in 2025.
Who do I call for addiction help in San Francisco?
The San Francisco Department of Public Health's Behavioral Health Access Center (1380 Howard Street) and Behavioral Health Access Line (1-888-246-3333, 24/7) can help with assessment and placement. For a crisis, call or text 988.
Does Medi-Cal cover rehab in San Francisco?
Medi-Cal covers medically necessary substance use disorder treatment when you are eligible. San Francisco runs a Drug Medi-Cal Organized Delivery System through its Department of Public Health, so Medi-Cal members can be assessed and placed through the city network. Confirm networks and authorization rules before you commit.
Is alcohol or opioid withdrawal dangerous?
Alcohol and benzodiazepine withdrawal can cause seizures and delirium tremens and should be managed with medical supervision. Opioid withdrawal is rarely life-threatening on its own, but the risk of overdose after a break is high, so start with a plan for medication and naloxone. Call 911 if someone is unresponsive or struggling to breathe.