Dr. Mark Schiller, MD
Medical Director, psychiatrist
medicine
Medical Board of California: 76519
Sausalito,
Alta Mira Recovery Programs
A thirty-bed converted historic hotel above San Francisco Bay, built around diagnostic depth rather than seclusion, and owned by a group it never names.
AssessedThe clinic has a full assessment in this edition: all ten criteria scored, each with its reasoning, its sources with capture dates, and the gaps we could not close.
Rank #14The clinic's position by public score in this edition.Public score 46The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements.TiedAnother clinic has the same public score and shares this rank.
Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01
Public evidenceThe headline number is the public score, not the extended score. · 46
About Alta Mira Recovery Programs
Alta Mira is a residential addiction and co-occurring disorders programme in a converted historic hotel on a Sausalito hillside, on one campus at one licensed address. Its structure is diagnostic first: a history and physical within 24 hours, a psychiatric evaluation within 48 hours, comprehensive neuropsychological testing and a written report of diagnostic impressions, which then feeds evidence-based psychotherapy, medically supervised detoxification, medication management and a heavy experiential and adventure component using the Marin Headlands and the Bay. It is a mid-size group-therapy environment rather than a single-client model. Room types run from a double room with a shared bath to a private suite, and clients eat together in a community dining room. The clinic publishes an unusual amount about its clinicians, including licence numbers on several profiles, and an unusual amount less about itself: no capacity figure, no state licence number, and no statement of who owns it. The public record puts it inside Constellation Behavioral Health, acquired by the private-equity firm New MainStream Capital in May 2016, and the parent's corporate site is being retired. Unusually for this price level, the clinic is in network with two insurers and works out-of-network benefits with most major carriers, so the resident population mixes insurance-funded and private-pay clients.
Clinic overview
- Founded
- Unresolved. The 2016 acquisition release describes the parent group as established in 2010, while commercial directories give 2007. The clinic publishes no founding year of its own.
- Capacity
- 30 beds in one 30,000 square foot building at a single licensed address. The figure comes from a 2016 corporate acquisition release, not from the clinic, which publishes no capacity figure, and not from a licensing register, which was not retrievable. UnverifiedStated by the clinic, not yet confirmed by an independent source
- Staff per client
- The clinic states a clinical staff-to-client ratio of approximately 1:2 during the day, 1:3 in the evenings and 1:6 overnight.
- Licence
- The clinic states that it is licensed by the California Department of Health Care Services to operate an adult residential alcohol and drug programme with co-occurring disorders. It publishes no licence number, and the state register was not retrievable, so the class rests on the clinic's own statement. UnverifiedStated by the clinic, not yet confirmed by an independent source
- Accreditations
- The CARF International provider directory lists the operating entity at this address as certified for ASAM Level of Care 3.5 and Level of Care 3.7. A Joint Commission provider locator entry for the operating entity was confirmed through the search index only, because the page refuses automated access. NAATP membership and LegitScript certification are stated by the clinic.
- Payment and insurance
- In network with Kaiser Permanente and TriWest, with out-of-network PPO benefits worked with most major carriers. The clinic states that government-issued insurance, including Medicare, Medicaid, Medi-Cal and Tricare other than TriWest, does not cover treatment at the facility.
- Length of stay
- The clinic asks new clients to commit to a stay of 30 days. A 30 to 90 day range is reported by third parties and is not published by the clinic.
- Address
- 125 Bulkley Avenue, Sausalito, United States
Leadership
The clinic publishes a full named team with credentials, and several profiles carry the clinician's own California licence or registration number, which few clinics do.
Dr. Karen Spedowfski, PhD
Executive Clinical Director, clinical psychologist
leadership
California Board of Psychology: 17518
Dr. David Pennington, PhD
Director of Neuropsychological Assessment
psychology
California Board of Psychology: 29603
Dr. David E. Smith, MD
Addiction Medicine Physician, lectures to clients
medicine
Sonya Johnson, LVN, BSHA
Director of Health Services, nursing
nursing
Dr. Kellie Beals, PsyD
Primary Therapist
psychotherapy
California Board of Psychology, registered psychological associate, supervised: 94027278
Andrea Ruiz, MSW, LCSW
Primary Therapist
psychotherapy
California Board of Behavioral Sciences, licensed clinical social worker: 135975
Nicole "Coco" Kramer, APCC
Primary Therapist
psychotherapy
California Board of Behavioral Sciences, associate professional clinical counsellor, supervised: 20052
Amy Russo, MA, LMFT
Therapist
psychotherapy
California Board of Behavioral Sciences, licensed marriage and family therapist: 159911
Elizabeth Gruber, MSN, PMHNP-BC
Psychiatric-Mental Health Nurse Practitioner
medicine
Jeff Leininger, PMHNP
Psychiatric Mental Health Nurse Practitioner
medicine
Oluchi Ibeabuchi, PMHNP-BC
Nurse Practitioner
medicine
Dr. Mark Gold
Chief Science Officer
scientific advisory board
W. Edward Craighead, PhD, ABPP
Scientific Advisory Board member
scientific advisory board
Steven Siegel, MD, PhD
Scientific Advisory Board member
scientific advisory board
Ned H. Kalin, MD
Scientific Advisory Board member
scientific advisory board
Barbara Coffey, MD
Scientific Advisory Board member
scientific advisory board
Alan Schatzberg, MD
Scientific Advisory Board member
scientific advisory board
Anand Kumar, MD
Scientific Advisory Board member
scientific advisory board
Charles B. Nemeroff, MD, PhD
Scientific Advisory Board member
scientific advisory board
Registration numbers are shown as the clinic publishes them. None could be confirmed against the California register, whose search requires a person.
Videos
Treatments
Comprehensive residential programme
From 30 days
About USD 3,500 a day on the clinic's own site, varying by diagnosis, stay and room
The core residential programme: at least two individual sessions a week with a primary therapist, daily group sessions covering skills, process, principles of recovery and somatic awareness, two-day intensive workshops, peer support groups and experiential outings, with medication management and an assigned psychiatrist throughout the stay.
Medically supervised detox
-
Included in the treatment price
Medically supported and monitored withdrawal management outside a hospital setting, in private detox rooms with 24-hour access to on-site nursing and close management by an addiction medicine specialist. A history and physical follows within 24 hours and a psychiatric evaluation within 48 hours.
10-Day Detox and Assessment Service
Ten days
-
A standalone ten-day service for clients who want a medically monitored detox while gaining diagnostic clarity. It combines medical, psychiatric and clinical assessment with comprehensive neuropsychological testing under a full-time neuropsychologist, and ends with a written report of diagnostic impressions, recommendations and resources for ongoing care.
Family Program
Three days, offered each month
-
A three-day intensive offered each month that brings family members on site for psychoeducation, systems work and planning for the return home. It is presented as a distinct product rather than a visiting arrangement, and it stays available to families after the client is discharged.
Continuing care and alumni programme
Ongoing
Included in the treatment price
A long-term continuing care plan built before discharge, followed by weekly virtual relapse prevention and process groups, quarterly two-day tune-ups and alumni events, regular check-ins with an Alumni Coordinator and an app. Meetings are facilitated and supported by the clinic's own staff rather than handed off.
Intensive outpatient programme
-
-
Treatment continues in the clinic's own intensive outpatient programme after a client leaves the campus. The clinic publishes no session pattern, no duration and no price for it, so it should be established explicitly before admission rather than assumed to be part of the residential fee.
Prices
No public price found.
Our assessment
The review base is genuine but modest and thinly spread, with no single authoritative count. No reliable Google rating or count was obtained, which is itself a gap for a 30-bed United States facility. A Yelp listing at the address exists but refuses automated access, so no star rating could be captured. Ratings that could be seen cluster from the high threes to the mid fours, which reads as honest rather than managed, and no evidence of manipulation was found in either direction. An anonymous reputation-complaint aggregator hosts a page carrying an allegation against the clinic. It is unverified and unadjudicated, the site has no editorial standards, and no regulatory action, court filing or news report corroborating it was found. It is recorded here only because a prospective client will see it. No substantive independent journalism about the clinic was located, and no first-hand bylined reporting from inside the facility was found.
The review base is genuine but modest and thinly spread, with no single authoritative count. No reliable Google rating or count was obtained, which is itself a gap for a 30-bed United States facility. A Yelp listing at the address exists but refuses automated access, so no star rating could be captured. Ratings that could be seen cluster from the high threes to the mid fours, which reads as honest rather than managed, and no evidence of manipulation was found in either direction. An anonymous reputation-complaint aggregator hosts a page carrying an allegation against the clinic. It is unverified and unadjudicated, the site has no editorial standards, and no regulatory action, court filing or news report corroborating it was found. It is recorded here only because a prospective client will see it. No substantive independent journalism about the clinic was located, and no first-hand bylined reporting from inside the facility was found.
No substantive independent journalism about the clinic was located, no first-hand bylined reporting from inside the facility was found, and there is no coverage naming any client.
A 2019 award from a commercial addiction-outcomes organisation, presented as recognition by an independent panel of judges and tied to an outcome study by a research group. It is not an accreditation and is not presented as one.
Facility
A converted historic hotel at 125 Bulkley Avenue on a Sausalito hillside, with gardens and terraces overlooking San Francisco Bay and the city skyline. A 2016 corporate release gives 30,000 square feet and 30 beds; the clinic itself publishes neither figure. The campus page describes private detox rooms and then four separate recovery residences offering double-occupancy rooms, private rooms and private suites, alongside a shared dining room, lounge areas, therapy offices and meeting rooms. Room types sold are a double room with a shared bath, a private room with a private bath, and a private suite. Adventure programming uses the surrounding Marin Headlands, Bay waters and coastline under a named Experiential Program Manager, and pet-friendly options are available. Not published: any capacity figure from the clinic, any per-residence occupancy figure, any arrival or departure separation, and any independent tour or inspection record. Service-area pages for nearby towns point back to this single campus and claim no other site.
Food
Three buffet-style meals a day in a community dining room shared with other residents. On arrival a client meets the Nutritionist and the Executive Chef to go through food preferences, restrictions, special dietary needs and allergies, and the clinic states that menus are created with the clinical nutrition therapist, with gluten-free, dairy-free and nut-free options marked. A Culinary Service Manager sits on the published staff list, so catering is an internal function rather than an outsourced one, and a full kitchen appears among the facility amenities. Not published: the names and credentials of the chef and the nutrition professional, any nutrition assessment protocol, any monitoring of nutrition during the stay, any dietary or micronutrient testing, and any kitchen hygiene rating. Gourmet claims come from directory listings rather than from the clinic.
Privacy
one to one therapy
What is established: individual psychotherapy, at least two and on one page three individual sessions a week with a primary therapist, and a stated clinical staff-to-client ratio of about 1:2 by day. That is the strongest separation level the clinic reaches. What is established against it: 30 beds in one converted hotel building. The entry room type is a double room with a shared bath, so a client at the base rate may share a bedroom. Daily group sessions, two-day intensive workshops and peer support groups are core to the programme, meals are taken together in a community dining room, and experiential outings take clients into public spaces in groups. Visiting hours are fixed for all clients on Sunday afternoons. What is not established: any arrival or departure separation, any staggered admission, any photography or electronics policy framed as protecting other clients, any client-to-client anonymity statement, and any confidentiality mechanism beyond the statutory privacy notice. In-network insurance participation also means clinical information about a named client is transmitted to a payer for utilisation review, and the clinic's own site does not tell a client which corporate group ultimately holds their records.
Assessed 2026-10-01
Rank #14The clinic's position by public score in this edition.Public score 46The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements.TiedAnother clinic has the same public score and shares this rank.
Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01
Public evidenceThe headline number is the public score, not the extended score. · 46
Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01
Public-evidence total: 46
The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.
ConfidenceHow well the evidence supports the score.: low. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.
- C1 Client separation and occupancy · 2
The entry room tier is a double room with a shared bath, and the residential programme includes daily group sessions, workshops and peer support groups with a shared community dining room. Shared bedrooms sold as a tier with group work at the core place the clinic in band 2. The private room and private suite are private bedrooms inside a shared campus of four recovery residences, so they are not a sole-occupancy tier and do not lift the band. The state licence confirms one licence covering several addresses on the shared campus, and no capacity deduction applies because the clinic makes no capacity or single-client claim.
ConfidenceHow well the evidence supports the score.: low
Sources (4 cited items):- Alta Mira Recovery Programs: Room types offered are a double room with a shared bath, a private room with a private bath, and a private suite described as the most spacious rooms with a large private bath.
- Alta Mira Recovery Programs: The campus page describes private detox rooms and four separate recovery residences offering double occupancy rooms, private rooms and private suites, with a shared dining room, lounge areas, therapy offices and meeting rooms.
- Alta Mira Recovery Programs: The residential programme includes daily group sessions, intensive two-day workshops and peer support groups, and the dining page describes three buffet-style meals a day in a community dining room shared with other residents.
- services7.arcgis.com: Place of care named as: Alta Mira campus, 125 Bulkley Avenue, Sausalito, California (with 135 Bulkley Ave, 25 Santa Rosa Ave, 110 and 126 Harrison Ave)
- C2 Clinical governance and medical cover · 7
The California Department of Health Care Services licence 210040AP for Alta Mira Recovery Centers, LLC covers residential treatment with detoxification and incidental medical services, expiring 28 February 2027. A psychiatrist is Medical Director, the assigned psychiatrist is on call 24 hours a day, 7 days a week, with 24-hour on-site nursing, on-site detox is offered, and CARF certifies ASAM Levels 3.5 and 3.7 at 125 Bulkley Avenue, with Joint Commission accreditation stated. Licensing, psychiatrist care and three further elements (night physician cover, on-site detox, accreditation) give band 7. Band 8 would need a fourth element; no named escalation hospital route, physician non-psychiatric care or programme for severe mental illness is published.
ConfidenceHow well the evidence supports the score.: medium
Known gapsFacts the assessment needed but could not establish.:- The FAQ describes the psychiatrist as a licensed independent affiliate and says the clinic is not primarily a medical or psychiatric facility.
Sources (5 cited items):- services7.arcgis.com: Place of care named as: Alta Mira campus, 125 Bulkley Avenue, Sausalito, California (with 135 Bulkley Ave, 25 Santa Rosa Ave, 110 and 126 Harrison Ave)
- carf.org: The CARF International directory lists Alta Mira Recovery Centers, LLC, 125 Bulkley Avenue, Sausalito, CA 94965, as certified for ASAM Level of Care 3.5 and ASAM Level of Care 3.7.
- Alta Mira Recovery Programs: The clinic states that it is licensed by the California Department of Health Care Services to operate an adult residential alcohol or drug programme and co-occurring disorders, and accredited by The Joint Commission, without publishing a licence number.
- Alta Mira Recovery Programs: The assigned psychiatrist provides care to each client throughout the stay and is on call seven days a week, 24 hours a day, for medical or psychiatric emergencies, with 24-hour access to on-site nursing and close management by an addiction medicine specialist during detox.
- Alta Mira Recovery Programs: The detox page states a history and physical within 24 hours and a psychiatric evaluation within 48 hours, with neuropsychological testing included.
- C3 Diagnostic depth on admission · 6
Four elements are published: a history and physical within 24 hours, a psychiatric evaluation within 48 hours, comprehensive neuropsychological testing with a full-time neuropsychologist, and a written report of diagnostic impressions at the end of the 10-Day Detox and Assessment Service. The history and physical is not stated to be performed by a physician, and a meeting with the addiction medicine physician, nurse practitioner and psychiatrist on admission is not a physical examination. Band 7 would also require a published laboratory panel, which is absent.
ConfidenceHow well the evidence supports the score.: medium
Known gapsFacts the assessment needed but could not establish.:- The clinician performing the admission history and physical is not named by role.
Sources (3 cited items):- Alta Mira Recovery Programs: The detox page states a history and physical within 24 hours and a psychiatric evaluation within 48 hours, with neuropsychological testing included.
- Alta Mira Recovery Programs: The 10-Day Detox and Assessment Service ends with a report that includes impressions about diagnoses, recommendations and resources for ongoing care.
- Alta Mira Recovery Programs: A comprehensive neuropsychological testing programme is combined with medical, psychiatric and clinical assessments, with a full-time neuropsychologist on staff.
- C4 Clinical intensity · 3
The residential programme states at least two individual sessions a week with a primary therapist, alongside daily groups; one other page says three, and the lower figure is counted. The clinical team is pooled rather than dedicated, with a stated ratio of about 1:2 by day, 1:3 in the evening and 1:6 overnight. The weekly meeting with the physician, nurse practitioner and psychiatrist is not described as an individual session and is not counted. The 30-day stay is a request rather than a fixed package, so no cap applies.
ConfidenceHow well the evidence supports the score.: low
Known gapsFacts the assessment needed but could not establish.:- Two clinic pages state different weekly individual session counts (two and three).
Sources (3 cited items):- Alta Mira Recovery Programs: The residential programme states at least two individual sessions a week with a primary therapist alongside daily group sessions.
- Alta Mira Recovery Programs: A separate clinic page states three individual sessions a week with a primary therapist.
- Alta Mira Recovery Programs: The clinic states a clinical staff-to-client ratio of approximately 1:2 by day, 1:3 in the evenings and 1:6 overnight, and asks new clients to commit to a stay of 30 days.
- C5 Continuity and aftercare · 6
Five elements are evidenced: a long-term continuing care plan set up before discharge, an intensive outpatient step-down, alumni groups and tune-ups run by the clinic's staff, referral back to a referring professional, and continuing care and alumni support included in the fee. Alumni support is described as lifetime with no defined clinical period, groups are facilitated by staff not stated to be clinicians, and no post-discharge psychiatric review is published. Bands 7 and above require the defined-period element, which is not met.
ConfidenceHow well the evidence supports the score.: medium
Sources (3 cited items):- Alta Mira Recovery Programs: The clinic states that before a client leaves treatment its multidisciplinary team sets up a long-term continuing care plan.
- Alta Mira Recovery Programs: The fee covers the continuing care and alumni programmes, comprehensive discharge planning and lifetime alumni support, with treatment able to continue in the clinic's intensive outpatient programme after discharge.
- Alta Mira Recovery Programs: The alumni programme runs weekly virtual support groups, quarterly two-day tune-ups, continued Family Program availability and an app, with meetings facilitated and supported by the clinic's staff.
- C6 Admission integrity and commercial conduct · 4
The superlative landing pages on the clinic's own domains each describe a single clinic and rank no others, the 2019 award is presented with its outcome study and shows no payment requirement, and llms.txt is a neutral site index with no instructions to AI systems. The San Francisco page gives an approximate rate of USD 3,500 per day, but the FAQ says the price depends on diagnosis, length of stay, withdrawal and accommodation, so no specific fixed price is published. No referral-fee position, list of declined presentations or voluntary-admission statement is published, so no positive signal counts and the clean result gives band 4.
ConfidenceHow well the evidence supports the score.: low
Sources (4 cited items):- Alta Mira Recovery Programs: The clinic's own San Francisco location page states that the residential programme is approximately USD 3,500 per day, and its FAQ says the price depends on admitting diagnosis, length of stay, withdrawal symptoms and accommodation.
- Alta Mira Recovery Programs: Superlative landing pages for the clinic and for a sister facility name no other clinic and publish no ranking.
- Alta Mira Recovery Programs: The referring professionals page states no position on referral fees and no policy on declining unsuitable admissions, and the site's llms.txt is an index with no instructions addressed to AI assistants.
- clinic and group domains, web search: Search of clinic and group domains, web search. Scope: domains checked altamirarecovery.com (page sitemap, teams sitemap, llms.txt, /ai-instructions/, "best" landing pages), constellationbehavioralhealth.com (group site, marked as being retired), bridgestorecovery.com and brightquest.com (sister facilities in the same group), nms-capital.com (owner.... Result: sweep recorded; outcome per the C6 V elements.
- C7 Transparency toward the client · 4
Three elements are met: an all-inclusive fee statement listing inclusions, a complaints route to the Executive Director or the federal health department, and a statement of limits (detox outside a hospital setting, not primarily a medical or psychiatric facility, and government insurance limits). No refund, cancellation, early-departure or extension terms are published. The homepage points to the state regulator's website without a licence number or register link, the Terms of Use name only the parent as website operator while the licensed entity is not identified with registration details, ownership is not disclosed, and no inspection results or retention period are published. Three elements give band 4 with no contradiction deduction.
ConfidenceHow well the evidence supports the score.: medium
Known gapsFacts the assessment needed but could not establish.:- The target of the homepage licensing link was not rechecked, so the licence reference element is recorded as a data gap.
Sources (3 cited items):- Alta Mira Recovery Programs: The FAQ states that programmes are all-inclusive, covering clinical treatment, accommodation, meals, a number of massages, yoga, personal training and acupuncture sessions and the continuing care and alumni programmes, with detox included and payment due on admission.
- Alta Mira Recovery Programs: The notice of privacy practices routes complaints to the Executive Director or to the federal health department, with no record retention period and no revision date; the terms of use name the parent company and give no fee or refund terms.
- Alta Mira Recovery Programs: The clinic states a limit on what it provides: detoxification is medically supported and monitored outside a hospital setting, and government-issued insurance including Medicare, Medicaid, Medi-Cal and Tricare other than TriWest does not cover treatment at the facility.
- C8 Track record and regulator standing · 5
Searches of federal court records and the open web found no final regulator, court or tribunal finding against the operating entity within ten years. A 2020 federal personal-injury case concerns a different facility of the parent group, names no Alta Mira entity and is not scored. The only recent reviews are accreditor surveys (CARF, January 2025; Joint Commission, June 2024), which are not statutory inspections, the Yelp listing could not be read, and no bylined first-hand reporting was found, so no standing element lifts the clinic above band 5.
ConfidenceHow well the evidence supports the score.: low
Known gapsFacts the assessment needed but could not establish.:- DHCS complaint and enforcement records are not publicly retrievable, so this is no finding found rather than a confirmed clean record.
Sources (8 cited items):- nms-capital.com: The 2016 acquisition release describes the parent group as established in 2010.
- yelp.com: A Yelp listing for the clinic at the Sausalito address exists; its rating, owner responses and reviews could not be read when checked on 15 September 2026.
- CourtListener REST v4 search (RECAP type r and opinions type o): Search of CourtListener REST v4 search (RECAP type r and opinions type o). Scope: "Alta Mira Recovery". Result: no record found.
- CourtListener REST v4 search (RECAP type r and opinions type o): Search of CourtListener REST v4 search (RECAP type r and opinions type o). Scope: "Constellation Behavioral Health". Result: no record found.
- general web search: Search of a general web search engine. Scope: "Alta Mira" Sausalito rehab lawsuit OR citation OR fine OR settlement. Result: no record found.
- general web search: Search of a general web search engine. Scope: "Constellation Behavioral Health" lawsuit OR settlement OR "attorney general" OR fine. Result: no record found.
- press and news search: Search of press and news search. Scope: first-hand bylined reporting from inside the facility, last 5 years. Result: no record found.
- statutory regulator records: Search of statutory regulator records. Scope: inspection history and grades of this site. Result: no record found.
- C9 Environment, safety and nutrition · 5
The score is the mean of the setting sub-score (6) and the nutrition sub-score (3), 4.5 rounded up to 5. The setting meets six elements, including therapy rooms, gardens, family visiting, licensed addresses on record and an emergency department within 30 minutes: Kaiser Permanente San Francisco Medical Center is about 18 minutes and 13.2 km by road, a calculated figure with a verified 24-hour destination. The next setting band would need a published emergency readiness element, which is absent, as are medication and risk policies. Nutrition credits meal provision only, because no nutrition professional is named on the team.
ConfidenceHow well the evidence supports the score.: medium
Known gapsFacts the assessment needed but could not establish.:- The dining page mentions a nutritionist and a clinical nutrition therapist, but no one is named on the team.
- It is not confirmed that the emergency department accepts psychiatric or toxicology emergencies around the clock.
Sources (4 cited items):- Alta Mira Recovery Programs: The campus page lists therapy offices, meeting rooms, lounge areas and a dining room, private detox rooms and four recovery residences, in a historic hotel setting with gardens overlooking the Bay.
- Alta Mira Recovery Programs: Visiting hours are typically every Sunday from 1pm to 5pm, packages are accepted but no food or drink products, and a three-day Family Program is offered each month.
- Alta Mira Recovery Programs: On arrival clients meet the Nutritionist and Executive Chef about food preferences, restrictions, special dietary needs or allergies, menus are created with the clinical nutrition therapist, and gluten-free, dairy-free and nut-free options are marked; neither the chef nor the nutrition professional is named.
- healthy.kaiserpermanente.org: Leading Rehabs calculated 18 minutes and 13.2 km by road from 125 Bulkley Avenue to Kaiser Permanente San Francisco Medical Center, Geary campus, whose emergency department page is live; the nearer CPMC campuses closed their emergency departments in 2019.
- C10 Clinical seniority and academic standing · 4
The team page names a full clinical team, and individual profiles publish California licence or registration numbers. Five Scientific Advisory Board professorships are confirmed on university faculty pages, but the board has no clinical role at the site. The addiction medicine physician is consulting and the psychiatrist is described as a licensed independent affiliate, so no treating clinician reaches the senior specialist tier at full involvement, the first entry gate is not met, and the score is held at the band 4 ceiling.
ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.
ConfidenceHow well the evidence supports the score.: medium
Known gapsFacts the assessment needed but could not establish.:- Nineteen California licence lookups were not complete at publication; the C10 band may change when they are completed.
Sources (4 cited items):- Alta Mira Recovery Programs: The team page names an Executive Clinical Director, a Medical Director, an addiction medicine physician, a Director of Neuropsychological Assessment, a Director of Health Services, three primary therapists, a therapist and three nurse practitioners, with credentials.
- Alta Mira Recovery Programs: Individual profiles publish the clinician's own California licence or registration number, including a physician licence, two psychologist licences, a registered psychological associate number, a clinical social worker licence, an associate counsellor registration and a marriage and family therapist licence.
- Alta Mira Recovery Programs: The Scientific Advisory Board page lists seven members with professorial and chair titles, with no faculty links, no videos and no clinical role at the site.
- med.emory.edu: Five advisory board professorships were confirmed on official university faculty pages at Emory, the Keck School of Medicine of USC, the University of Wisconsin, Stanford and Dell Medical School.
Frequently asked questions
What does treatment at Alta Mira cost?
The clinic's own San Francisco location page states that the residential programme is approximately USD 3,500 per day, and its FAQ says the price depends on admitting diagnosis, length of stay, withdrawal symptoms and accommodation, with clients responsible for payment on admission. No rate card or per-programme price is published. The fee is described as all-inclusive, covering clinical treatment, accommodation, meals, a number of massages, yoga, personal training and acupuncture sessions, and the continuing care and alumni programmes, with detox included in the treatment price. Third-party figures separating a shared room from a private room circulate but are not published by the clinic. Because the clinic is in network with two insurers and works out-of-network benefits with most major carriers, the effective cost varies widely by payer.
Where is it?
At 125 Bulkley Avenue in Sausalito, Marin County, California, in a converted historic hotel on a hillside with views over San Francisco Bay and the city skyline. It is a short drive across the Golden Gate Bridge from San Francisco and its airports, and the Marin Headlands, Bay waters and coastal beaches used by the experiential programme are immediately outside. One campus, one licensed address. Service-area pages for nearby towns all point back to this site.
Who is it designed for?
Adults with substance use disorders and co-occurring mental health conditions, with particular weight on chronic relapse and on clients who arrive carrying a diagnosis that has never been properly tested. That is why the assessment phase, with a psychiatric evaluation, an addiction-medicine review and comprehensive neuropsychological testing, is the most distinctive part of the programme. Because it is a 30-bed campus with daily group work, a shared dining room and insurance participation, it suits a client whose first requirement is clinical depth rather than one whose first requirement is anonymity.
How does admission work?
Through the clinic's admissions line, with insurance benefits verified during the call. Medically supervised detoxification is available on site under 24-hour nursing and an addiction medicine specialist, so a client can be admitted directly in withdrawal without a separate detox placement. A history and physical follows within 24 hours and a psychiatric evaluation within 48 hours, and a psychiatrist is assigned to the client for the stay and is on call around the clock for medical and psychiatric emergencies. The clinic asks new clients to commit to a stay of 30 days. No waiting time is published.
What happens after discharge?
The multidisciplinary team sets up a long-term continuing care plan before the client leaves, and the treatment fee covers the continuing care and alumni programmes. Alumni support includes weekly virtual relapse prevention and process groups, quarterly two-day tune-ups and events, regular check-ins with an Alumni Coordinator, an app and continued access to the Family Program. Treatment can continue in the clinic's intensive outpatient programme after discharge. Where a client came through a referring professional, the clinic states that it collaborates on discharge planning and refers back for follow-up. No outcome or long-term abstinence data is published.