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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.
Detox Program

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.

Inpatient Treatment

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.

Outpatient Treatment

Our Sober Living Environment is the only CARF Accredited Program in California.
Our community is supportive and our amenities are top notch.

Sober Living


San Diego Rehab

Caring Drug and Alcohol Addiction Treatment Center


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.

In 2024, Mark Gladden and his family opened Present Moments Senior Living, a residential care facility for the elderly (RCFE), that supports sober living for seniors.


We Accept Most PPO Insurance Plans.


Accredited Substance Abuse Treatment Programs

Customized For Each Patient

The Entire Treatment Continuum Personalized for You


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.
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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.
CARF Accredited Programs

Flexible San Diego Rehab Drug Detox And Programs

3-7 days

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

Detox Program

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

Inpatient PRogram

60+ days

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

Inpatient Program

A Caring Partner In Your Sobriety 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


  • reviewer-1
    "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."
    - Shanna M.
  • reviewer-2
    "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."
    - Rob F.
  • reviewer-3
    "Present Moments gives enough freedom to help be part of a functioning society with a good amount of oversite and programming to help support clients sobriety. We are very grateful for Mark and Amy!"
    - Stacy B.
  • reviewer-1
    "Amy, Mark, and staff made a frightening and difficult time of my life pleasant, comfortable, and healthy. Nothing can express my gratitude for the support I was given."
    - Michael C.
Read More Testimonials

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.

Learn More about Katie

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
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