City and County of San Francisco
Also known as Obic
OutpatientMATDual diagnosis
About City and County of San Francisco
In San Francisco, OBIC Clinic offers outpatient services for adults dealing with drug dependence, alcohol misuse, and mental health challenges that occur alongside substance use. The center focuses on treatment for opioid and stimulant use disorders, providing individualized medication-assisted treatment (MAT) along with counseling, including support for those with public insurance.
OBIC uses a harm-reduction model, pairing buprenorphine and naltrexone with motivational interviewing and cognitive behavioral therapy (CBT) to help individuals stay on track in recovery. The clinic also supports same-day visits and walk-in availability, provides overdose prevention education, offers contingency management for stimulant use, and helps patients link to ongoing primary care and mental health services.
Services reported to SAMHSA
- Levels of care
- Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Buprenorphine maintenance · Prescribes buprenorphine · Prescribes naltrexone · Relapse prevention with naltrexone
- Medications used
- Buprenorphine with naloxone · Buprenorphine without naloxone · Buprenorphine (extended-release, injectable) · Naltrexone (oral) · Naltrexone (extended-release, injectable) · Medication for mental disorders
- 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
- Education and counseling
- HIV or AIDS education, counseling, or support · Hepatitis education, counseling, or support · Health education services other than HIV/AIDS or hepatitis · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling
- Special programs
- 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 accepted
- Children/Adolescents · Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Federal, or any government funding for substance use treatment programs · No payment accepted
- Licensing and accreditation
- State substance use treatment agency · State department of health · Federally Qualified Health Center · Drug Enforcement Agency (DEA)
- Ownership
- Local, county, or community government
- Recovery support
- Housing services · Assistance with obtaining social services · Mentoring/peer support
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
- Other services
- Case management service · Mental health services · Transportation assistance · Suicide prevention services
Facility-provided information
- Care offered
- Outpatient · Co-Occurring Mental Health
- Substances treated
- Alcohol · Co-Occurring Disorders · Drug Addiction · Heroin · Opioids · Prescription Drugs
- Therapies
- 1-on-1 Counseling · Cognitive Behavioral Therapy · Medication-Assisted Treatment · Motivational Interviewing
- Approaches
- Evidence-Based · Medical
- Who it serves
- Men · Men and Women · Women
- Aftercare
- Medication Assistance
- Languages
- English
Questions to ask City and County of San Francisco
- What does treatment cost without insurance, and do you offer a payment plan or sliding fee?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- Which medications do you prescribe (buprenorphine, methadone, naltrexone), and can I continue a medication I already take?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by California. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at City and County of San Francisco
City and County of San Francisco did not report which payment types it accepts. If you have Medicaid, ask whether the facility accepts your California Medicaid plan or can refer you to one that does. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Frequently asked questions
What services does City and County of San Francisco offer?
City and County of San Francisco reports these levels of care to SAMHSA: Outpatient, MAT, Dual diagnosis. Call to confirm current services and openings.
Does City and County of San Francisco accept insurance?
Payment information was not reported. Call the facility and ask about insurance, Medicaid and self-pay rates.
Where is City and County of San Francisco located?
1380 Howard Street, San Francisco, CA 94103.
How far is the nearest medical detox from San Francisco?
From the center of San Francisco County, the closest program offering medical detox is in San Francisco, about 4.0 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in San Francisco
433 Turk Street, San Francisco, CA 94102
OutpatientMATMethadone (OTP)MedicaidMedicarePrivate insuranceTRICARE / VA
Call (415) 928-7800Details
433 Turk St., San Francisco, CA 94102
OutpatientMAT
Call (415) 573-3632Details
1625 Carroll Avenue, San Francisco, CA 94124
OutpatientMATMethadone (OTP)Dual diagnosisMedicaidMedicareSelf-pay
Call (415) 822-8200Details
1625 Carroll Avenue, San Francisco, CA 94124
OutpatientDual diagnosisMedicareSelf-pay
Call (415) 822-8200Details
1724 Bryant St, San Francisco, CA 94110
Residential
Call (650) 244-1444Details
635 Brunswick Street, San Francisco, CA 94112
Residential
Call (650) 244-1444Details
See all 81 facilities in San Francisco · Detox · Residential · Outpatient · Intensive outpatient · MAT · Methadone
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.