Our Continuum of Care

Present Moments provides a safe and comfortable detox process, overseen by our Medical Director and administered by our trained support staff. 

Our Incidental Medical Services license authorizes us to offer medications to mitigate withdrawal symptoms in the comfort of our home.
Present Moments provides a very supportive and clinically driven residential treatment program for those who are ready to make a lasting change.

Our strength is our multidisciplinary staff of therapists and doctors who utilize a state-of-the-art blend of evidence based processes to facilitate lasting change.
Many of our clients live and work in the San Diego area and come for treatment in an outpatient capacity.

We have multiple levels of care available to those who reside in the area. We are licensed to provide outpatient treatment with MAT assistance.
Our Sober Living Environment is the only CARF Accredited Program in California.
Our community is supportive and our amenities are top notch.

San Diego Drug Rehab

Addiction Treatment Center in a home-like Environment

Welcome to Present Moments Recovery, the premier San Diego drug rehab center. Our residential and extended care treatment program is located in San Diego (North County) and helps men & women attain sobriety, achieve emotional balance, and gain independent living skills.

We are licensed by the California Department of Health Care Services (DHCS) to provide medication assisted detoxification services, incidental medical services, and extended residential treatment in a structured and supportive sober living environments. Our exclusive and comprehensive drug rehabilitation program is facilitated by skilled clinicians in a peaceful and comfortable ‘home-like’ atmosphere. 


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We Accept Most PPO Insurance Plans

Accredited Programs & Treatment

Customized For Each Patient


The Entire Treatment Continuum Personalized for You

san diego drug rehab Our treatment program is personalized for each individual in order to best guide them through the initial transition to abstinence and continue supporting them as they resume their professional or academic career with aftercare programs in the local community. Our after care programs support each client for up to a year Under the care of the same treatment team.  Where appropriate, MAT (Medication-Assisted Treatment) is incorporated into the plan.

Our San Diego rehab provides a licensed, safe and supportive detox environment for the first 5 to 10 days. Once stabilized, the client moves seamlessly into our residential program consisting of clinical and holistic treatment lasting 20-60 days. Following this, the client will continue their treatment at a PHP (Partial Hospitalization Program) and/or IOP (Intensive Outpatient Program) level of care. This level of care is  suited for those clients residing in the local area in a stable and supportive living environment.

Should the client need alternative housing to support their continuum of care, PMR owns and operates By the Sea Recovery, providing an industry leading sober community experience at two locations in North County San Diego. Our treatment continuum helps you by providing continuity of care facilitated by our ethical staff of professionals in a secure and safe environment.

  •  I couldn’t be more grateful.


Flexible Drug Detox & Rehab Programs

3-7 days

  • Most Comfortable & Safe Detox Available
  • Industry-leading Detox Doctor Presides
  • Covered by Most PPO Insurance Plans
  • Detox from all Substances

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30 days

  • Leading Residential Program in CA
  • Covered by Most PPO Insurance Plans
  • State-of-the-Art 'Evidence Based' Treatment
  • Establishes Long-term Behavior Change

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60+ days

  • Same Clinical Team into Outpatient
  • San Diego Sober Living in Monitored Housing
  • Ongoing Monitoring of Treatment Progress
  • Extended Treatment = Higher Success Rates

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A Caring Partner In Your Journey

  • Skilled, Caring Staff
    Our By The Sea Recovery sober living home offers an objective based and data driven process, 24/7 on site management by a house manager (trained in CPR and First Aid), and the safety of a zero drug and alcohol tolerance environment.
  • Custom Tailored Programs
    We have over 7 years of helping guide those in our care to successful recovery outcomes in sober housing and post-rehab transitional living with a strong clinical support component.
  • Comfortable Atmosphere
    A 15 minute ride from the world-renowned surf beaches of North County San Diego and walking distance from fitness centers, yoga studios, hiking trails, shopping centers, public transportation, recovery resources and meetings. By the Sea Recovery San Diego sets the standard in aesthetics and outcomes for recovery residences.
  • Evidence-Based Treatment Principles
    We have over 5 years of helping guide the men in our care to successful recovery outcomes in sober housing and post-rehab transitional living with a strong clinical support component.
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You CAN Achieve Sobriety

We Are Here To Guide You

Meet Your Medical Director
Katie Hirst, MD
A native Californian, Dr. Hirst grew up in the Bay Area before attending Stanford University for her dual undergraduate degree. After graduation, Dr. Hirst completed a dual residency in Family Medicine and Psychiatry at UC San Diego — and founded the UCSD Maternal Mental Health Clinic during her third year of training.

Dr. Hirst soon became a regional expert in the field of Reproductive Psychiatry. While serving on faculty in three departments at UCSD School of Medicine, Dr. Hirst developed the first Maternal Mental Health Intensive Outpatient Program in the Southwest United States.

Dr. Hirst developed an opioid addiction following the births of her daughters via C-section in 2008 and 2011, and left academic medicine to seek treatment.

Dr. Hirst is board-certified in Family Medicine and Psychiatry, and is able to provide a unique level of care that encompasses the whole patient as a result of this dual training and expertise.

Dr. Hirst balances her rewarding work with personal time devoted to recovery, family and friends. She and her family are avid explorers of National Parks, and she is an enthusiastic indoor cyclist and runner.
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Present Moments Recovery is fully accredited by Carf International, one of the nation’s oldest and largest standards-setting and accrediting body in healthcare.
This accreditation is the highest level possible for an addiction treatment center and reflects our rigorous standards and equipment to good of clients and the families we serve.

We Will Help You With
  • Relapse Prevention
  • Coping Skills
  • Aftercare Planning
  • 1 on 1 sessions
  • MAT (Medication assisted therapy)
  • Alumni Services
  • Anxiety
  • Depression
  • PTSD
  • Bipolar Disorder
  • Self-Harm
  • Obsessive Compulsive Disorder
We Offer
Group Therapy
1 on 1 Sessions
Individualized Treatment Plans
As Well As
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Family Therapy
  • Couples Therapy
  • Education Therapy
  • Dynamic Therapy
  • Yoga Therapy
  • Holistic Approach
  • Mindfulness Therapy
Susan Hilton
★★★★★ 2 years ago
I had the privilege of working for Mark and Amy during the summer. I’ll never forget their kindness and compassion for myself and their clients. They have top notch sober living homes and treatment centers.

I was a house manager and treatment tech and I learned so much from them 😃 They provide excellent therapists and Drs as well as yoga and reiki instructors and an acupuncturist. I’m grateful for the time I got to work for them and I wish all blessings and happiness for them both 🙏😃
Shanna M.
★★★★★ 9/6/2022

If you're looking for a place that truly cares about every person who walks through in, then you have definitely found it! 

Not only have they changed my life for the better, they helped me through  extensive legal issues while never  judging me. I truly love Present Moments recovery from the bottom of my heart. I owe them my life. 

I came here broken, and they helped me find myself. I have learned the coping skills nessary to stay clean and to move on with my life. 
Robert W.
★★★★★  4/5/2016
This is a one of a kind treatment center that is operated by true professionals. I have seen first hand the care with which each individual is treated at this North County San Diego treatment facility. The facility is in a beautiful upscale location and is well maintained and operated with care.

I have had the pleasure of working with Mark and his team on several occasions and have been impressed by their commitment to inspiring quality recovery in those who are in need of help. I have great trust and confidence that they will take excellent care of you or your loved one in your time of need.
Rob Fleisher
★★★★★ 3 years ago
For now, as I’m still a client in Mark, Amy and their team’s care, I can honestly say I could not have have found a better group to guide me through perhaps the most difficult period in my adult life. From the beginning to today, 8 months and 3 levels of care later, it has been what I needed, when I needed it.

That hasn’t always been easy to say or accept in many of the challenging moments of honest self-searching, but looking back, it’s the truth. Things do often happen for a reason, and I couldn’t be more grateful that some thing or some one far bigger than me, found a reason for me to here.

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