San Francisco AIDS Foundation

They offer outpatient and telemedicine. Which one fits is usually decided by how much structure the first few weeks need, and San Francisco has 8 other centers within 14 miles.

They do not detox. Withdrawal from alcohol or benzodiazepines in particular is a medical event, and the closest place set up for it is in San Francisco, under a mile away.

They do not prescribe. If buprenorphine or methadone is part of what you need, say so on the call and ask who they refer to in San Francisco.

Outpatient only. Nobody stays overnight, so the week is built around appointments you travel to in San Francisco.

There are 8 more within a short drive of San Francisco, so this does not have to be the only call you make.

Yes. They treat people in Spanish. Confirm it for the first appointment specifically, because in San Francisco that can depend on who is rostered that day.

A mental health condition alongside substance use is the common case rather than the complicated one. Where a diagnosis already exists, the existing prescriber becomes part of the plan. A program that cannot answer these questions is telling you something useful.

Photo id, your insurance card, and a list of every medication you take with the doses. A notebook and a couple of books are allowed almost everywhere and are worth more than most of what people pack. Ask how much cash, if any, is useful to have with you.