Top San Rafael Drug and Alcohol Addiction Centers
San Rafael sits in Marin County and is the county seat of Marin, known for its Frank Lloyd Wright civic center. This page lists drug and alcohol addiction treatment providers across San Rafael, including neighborhoods such as Downtown San Rafael, Terra Linda and the Canal. Scroll down to browse inpatient rehabs, outpatient programs, virtual treatment providers, counselors and therapists serving the area.
Recorded levels of care in San Rafael include addiction detox, residential inpatient care, partial hospitalization (PHP) and intensive outpatient (IOP), across eleven listed providers. Detox and residential programs both run locally, so withdrawal management and longer treatment can be completed without relocating. Every provider listed in San Rafael is verified against DHCS licensing records, SAMHSA registration and accreditation held with The Joint Commission or CARF International. For no-cost or sliding-scale care, Marin County Behavioral Health is the usual starting point.
11 Drug and Alcohol Rehab Treatment Centers in San Rafael, CA
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Drug and Alcohol Rehabs in San Rafael, CA
San Rafael sits in the hills of central Marin County, the county seat and the largest city north of the Golden Gate.
Mission San Rafael Arcángel was founded here in 1817 as a hospital outpost for indigenous converts who had fallen ill in the damp of San Francisco, making it one of the few missions established for health reasons.
Marin County has among the highest median household incomes and longest life expectancies in the United States, and San Quentin State Prison sits on the point at the eastern edge of the city.
Highway 101 runs through the city, putting San Francisco 25 minutes south across the Golden Gate and Santa Rosa 45 minutes north.
California recorded a drug overdose death rate roughly 6 percent below the national figure in 2024.
Methamphetamine was involved in around 57 percent of California overdose deaths that year, more than any other substance, while fentanyl drives the opioid share.
County rates in 2024 ranged from 11.3 per 100,000 in Napa County to 91.5 in Lake County, both in Northern California.
Marin County participates in the Drug Medi-Cal Organized Delivery System, live since April 2017, which covers a full continuum of care assessed against American Society of Addiction Medicine criteria.
Which Level of Care Do You Need
The counts below reflect the 11 San Rafael facilities listed in this directory, which are weighted toward residential care to an unusual degree.
Medically Supervised Detox
Detox manages withdrawal under clinical observation, usually across several days, and is where treatment begins for anyone physically dependent on alcohol, opioids or benzodiazepines. Only around 1 of the 11 San Rafael facilities offers detox. San Francisco has four within 25 minutes south and Santa Rosa one to the north.
Inpatient Residential Treatment
Residential care provides a structured live-in setting for weeks or months. About 7 of the 11 San Rafael facilities offer it — proportionally the strongest residential concentration of any city in Northern California, and more than San Francisco has in absolute terms.
Outpatient, IOP and PHP Treatment
Outpatient care lets you live at home while attending sessions. Around 6 facilities offer outpatient services, 4 offer IOP and 2 offer PHP. All 11 offer telehealth, which is universal local coverage and rare anywhere in this directory.
Dual Diagnosis and Co-Occurring Disorders Treatment
Dual diagnosis care treats a substance use disorder and a mental health condition together rather than in sequence. Around 7 of the 11 San Rafael facilities indicate they treat co-occurring disorders.
Sober Living Homes and Transitional Living
Sober living homes provide drug-free housing after formal treatment ends. This directory does not list recovery residences separately, and Marin property values make certified residences scarce. The California Consortium of Addiction Programs and Professionals certifies residences statewide.
Addiction Treatment Cost and Insurance Coverage
This is the most private-pay market in Northern California, and the coverage figures show it plainly.
How Much Does Addiction Rehab Cost in San Rafael
Residential rehab in San Rafael runs roughly $6,000 to $45,000 a month, with executive and luxury programs in Marin reaching $30,000 to $90,000 or more. IOP runs $3,000 to $10,000 monthly, PHP $7,500 to $15,000 and outpatient $1,200 to $5,000. Of the 11 San Rafael facilities, 5 accept Medi-Cal but only 1 accepts Medicare and 1 TRICARE.
One Medicare-accepting facility in a county with this age profile is the figure to note. If Medicare is your cover, Santa Rosa has seven and San Francisco fifteen, both within 45 minutes.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (inpatient) | $7,000 – $24,000 | $230 – $800 |
| Residential inpatient | $6,000 – $45,000 | $200 – $1,500 |
| PHP | $7,500 – $15,000 | $250 – $500 |
| IOP | $3,000 – $10,000 | $100 – $330 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $30,000 – $90,000+ | $1,000 – $3,000+ |
| PHP | $15,000 – $35,000 | $500 – $1,150 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
Does Insurance Cover Rehab in San Rafael
Commercial insurance, generally yes. Medicare and TRICARE, thinly. Among the 11 San Rafael facilities, 5 accept Medi-Cal, 1 accepts Medicare and 1 accepts TRICARE. Federal parity law still requires most commercial plans to cover substance use treatment on terms comparable to medical care.
Ask whether a program bills your insurer directly or expects you to pay and reclaim afterward. In this market out-of-network reimbursement is common and the difference up front is substantial.
Free and State-Funded Addiction Rehab in San Rafael, CA
Publicly funded options are narrower here than the facility count suggests.
Five of the 11 San Rafael facilities accept Medi-Cal, and an eligibility check costs nothing.
Marin County’s Behavioral Health Access Line assesses and refers under DMC-ODS at no charge, on 888-818-1115.
The California Naloxone Distribution Project supplies naloxone free to community organizations, and Never Use Alone on 800-484-3731 stays on the line with people using alone.
More Help and Recovery Support
MarinHealth Medical Center serves the county from Greenbrae, a few minutes south. Marin has no trauma center of its own; serious cases go to Zuckerberg San Francisco General or Santa Rosa Memorial, both around 30 to 45 minutes away.
Alcoholics Anonymous meets daily across Marin, and the county has a long-established recovery community relative to its size. Narcotics Anonymous operates through the Northern California region. SMART Recovery and Refuge Recovery both meet locally. Adjacent Novato, Sausalito, Forest Knolls and San Francisco carry further options.
Free lines, available now
988 Suicide & Crisis Lifeline — call or text 988, free and confidential, 24 hours a day
CalHOPE Warm Line — 833-317-4673
Never Use Alone — 800-484-3731
SAMHSA National Helpline — 1-800-662-4357
Rehab Seekers is a directory. The information on this page is for general reference and is not medical advice. Decisions about treatment should be made with a licensed clinician who knows your history. If you or someone you care about is in immediate danger, call 911.
References and Citations
California Department of Public Health — Overdose Surveillance Dashboard and opioid overdose death briefs.
Centers for Disease Control and Prevention — drug overdose death rates by state and county, 2024.
California Department of Health Care Services — Drug Medi-Cal Organized Delivery System county participation, January 2025.
Rehab Seekers directory listings, San Rafael, August 2026.
Rehab Seekers market rate research, California standard and luxury programs, 2026. Ranges are indicative and vary by facility, length of stay and coverage.