# Present Moments Recovery > CARF-accredited, DHCS-licensed addiction treatment provider in North County San Diego (Carlsbad and San Marcos). Present Moments Recovery delivers a single connected continuum of care: medical detox, residential treatment, PHP, IOP, outpatient services, medication-assisted treatment (MAT), sober living coordination, and aftercare, with one clinical team from the first call through long-term recovery. Family-founded in 2014. Call or text (619) 363-4767. Present Moments Recovery treats adults and supports families through alcohol and drug addiction, including co-occurring (dual diagnosis) conditions. Clinical and condition content is reviewed by a credentialed addiction clinician (Kathryn O'Cain Meyer, M.Ed, AADC); medical topics reflect the oversight of Medical Director Dr. Kathryn Germeraad, D.O., a board-certified internal medicine physician and fellowship-trained addiction medicine specialist. PMR accepts most major PPO insurance; it does not accept Medicare, Medi-Cal, or Tri-Care direct. ## Key Facts - Present Moments Recovery was founded in 2014 by Mark and Amy Gladden, a husband-and-wife team; Mark is a veteran and person in long-term recovery who answers the admissions phone himself. - Present Moments Recovery holds a Three-Year CARF Accreditation (the highest CARF awards) through August 31, 2027. - Present Moments Recovery is licensed by the California Department of Health Care Services: license #370148AP (detox and residential) and #370040AP (outpatient). - Present Moments Recovery is a DHCS-designated MAT Access Point. - Present Moments Recovery operates three locations across North County San Diego: San Marcos (detox and residential) and Carlsbad (outpatient and sober living), with one connected clinical team across all levels of care. - Editorial standards: https://presentmomentsrecovery.com/about/editorial-policy/ ## Programs (Levels of Care) - [Treatment Programs](https://presentmomentsrecovery.com/programs/): Overview of PMR's full continuum of care. - [Continuum of Care](https://presentmomentsrecovery.com/programs/continuum-of-care/): How each level of care connects. - [Medical Detox](https://presentmomentsrecovery.com/programs/detox/): Medically supervised, 24/7 withdrawal stabilization. Sub-guides cover alcohol, opioid, fentanyl, benzo, and stimulant detox, how long detox takes, and what happens during detox (e.g. /programs/detox/alcohol-detox/, /programs/detox/do-i-need-detox/). - [Residential Treatment](https://presentmomentsrecovery.com/programs/residential/): Structured inpatient care after detox, with sub-guides at /programs/residential/. - [Partial Hospitalization (PHP)](https://presentmomentsrecovery.com/programs/php/): Day treatment with high clinical intensity. - [Intensive Outpatient (IOP)](https://presentmomentsrecovery.com/programs/iop/): Flexible outpatient therapy; sub-guides include IOP while working and what to expect in IOP. - [Medication-Assisted Treatment (MAT)](https://presentmomentsrecovery.com/programs/mat/): FDA-approved medications combined with counseling. Sub-guides cover Suboxone, buprenorphine, naltrexone, medication to stop drinking, and MAT vs abstinence (e.g. /programs/mat/suboxone-treatment/). - [Sober Living](https://presentmomentsrecovery.com/programs/sober-living/): CARF-accredited structured sober living coordination. - [Aftercare](https://presentmomentsrecovery.com/programs/aftercare/): Long-term relapse prevention; sub-guides include the first 90 days after treatment and relapse warning signs. - [Intervention](https://presentmomentsrecovery.com/programs/intervention/): Help getting a loved one into treatment; sub-guides include how to stage an intervention and what if they say no. ## What We Treat - [Alcohol Addiction](https://presentmomentsrecovery.com/what-we-treat/alcohol/) - [Opioids & Fentanyl](https://presentmomentsrecovery.com/what-we-treat/opioids-fentanyl/) - [Benzodiazepines](https://presentmomentsrecovery.com/what-we-treat/benzodiazepines/): includes managing anxiety without benzos and withdrawal/medical detox guides. - [Stimulants (Cocaine, Meth)](https://presentmomentsrecovery.com/what-we-treat/stimulants/): includes cocaine, methamphetamine, prescription stimulants, and stimulant withdrawal. - [Prescription Drugs](https://presentmomentsrecovery.com/what-we-treat/prescription-drugs/): includes prescription opioids, sedatives, gabapentin, and muscle relaxants. - [Sleeping Pills](https://presentmomentsrecovery.com/what-we-treat/sleeping-pills/): includes Ambien, Lunesta, withdrawal, and sleep without medication. - [Cannabis](https://presentmomentsrecovery.com/what-we-treat/cannabis/): includes high-potency THC, cannabis hyperemesis syndrome, and cannabis withdrawal. - [Dual Diagnosis (Co-Occurring Disorders)](https://presentmomentsrecovery.com/what-we-treat/dual-diagnosis/): includes anxiety, depression, bipolar disorder, and ADHD with substance use. - [Trauma & PTSD](https://presentmomentsrecovery.com/what-we-treat/trauma-ptsd/): includes PTSD and substance use, childhood trauma, and a veterans guide. - [Behavioral Addictions](https://presentmomentsrecovery.com/what-we-treat/behavioral-addictions/): gambling, gaming/internet, pornography, and shopping/spending. - Most conditions include a "helping a loved one" guide for families (e.g. /what-we-treat/stimulants/helping-a-loved-one/). ## Clinical Approach & Therapies - [Clinical Approach](https://presentmomentsrecovery.com/clinical-approach/): Evidence-based and holistic therapies used at PMR. - [CBT](https://presentmomentsrecovery.com/clinical-approach/cbt/), [DBT](https://presentmomentsrecovery.com/clinical-approach/dbt/), [Motivational Interviewing](https://presentmomentsrecovery.com/clinical-approach/motivational-interviewing/) - [Family Therapy](https://presentmomentsrecovery.com/clinical-approach/family-therapy/): includes family recovery and healthy boundaries. - [Trauma-Informed Care](https://presentmomentsrecovery.com/clinical-approach/trauma-informed-care/) - [Relapse Prevention](https://presentmomentsrecovery.com/clinical-approach/relapse-prevention/): includes understanding triggers and building recovery capital. - [Continuing Care Planning](https://presentmomentsrecovery.com/clinical-approach/continuing-care-planning/) and [Life Skills & Wellness](https://presentmomentsrecovery.com/clinical-approach/life-skills-wellness/) ## Insurance & Admissions - [Insurance](https://presentmomentsrecovery.com/insurance/): Accepted PPO plans and coverage details. - [Verify Insurance](https://presentmomentsrecovery.com/insurance/verify/): Confidential coverage check. - [Paying for Treatment](https://presentmomentsrecovery.com/insurance/paying-for-treatment/) and [Cost of Rehab](https://presentmomentsrecovery.com/insurance/cost/) - [Admissions](https://presentmomentsrecovery.com/admissions/): What to expect. Guides include how long rehab lasts, what to bring, whether someone can be forced into rehab, and how to talk to someone about rehab (e.g. /admissions/how-long-does-rehab-last/). - [Get Help Now](https://presentmomentsrecovery.com/get-help-now/): Start the conversation about treatment. ## About - [About Present Moments Recovery](https://presentmomentsrecovery.com/about/): Story, mission, and Continuity of Care model. - [Our Team](https://presentmomentsrecovery.com/about/team/): Clinical and medical leadership, including Medical Director Dr. Kathryn Germeraad, D.O. - [Founders](https://presentmomentsrecovery.com/about/founders/): Mark & Amy Gladden. - [Accreditation & Licensing](https://presentmomentsrecovery.com/about/accreditation/): CARF Three-Year Accreditation and DHCS licenses. - [Editorial Policy](https://presentmomentsrecovery.com/about/editorial-policy/): How content is created, medically reviewed, and updated. - [Veterans](https://presentmomentsrecovery.com/about/veterans/): Veteran-owned; support for veterans and military families. - [Locations](https://presentmomentsrecovery.com/about/locations/): San Marcos and Carlsbad facilities. - [Areas We Serve](https://presentmomentsrecovery.com/about/areas-served/): North County San Diego communities including Carlsbad, San Marcos, Oceanside, Encinitas, Vista, Escondido, San Diego, La Jolla, Del Mar, Solana Beach, Rancho Santa Fe, and Poway. - [Testimonials](https://presentmomentsrecovery.com/about/testimonials/) ## Resources - [Resources](https://presentmomentsrecovery.com/resources/): Education for clients and families, including a For Families article series at /resources/family/. - [Blog](https://presentmomentsrecovery.com/blog/): 300+ articles on addiction, treatment, and recovery. - [FAQ](https://presentmomentsrecovery.com/faq/): Common questions about treatment, cost, and what to expect. ## Contact - [Contact](https://presentmomentsrecovery.com/contact/): Phone, email, and facility addresses. Call or text (619) 363-4767.