San Diego Rescue Mission in downtown San Diego's Bankers Hill district has operated from 120 Elm Street since consolidating its rehabilitation programs into the former Harbor View Medical Center in 2004, expanding a mission that began in 1955. The facility houses state-licensed drug and alcohol rehabilitation services—only the second such licensed program for homeless individuals in San Diego County when it received certification in 2001—alongside meal programs, transitional housing, and the Haven of Hope Preschool, coordinating overlapping client needs with senior-serving organizations like Serving Seniors on the same corridor. The Mission also operates the first non-VA recuperative care unit in the county, providing 28 beds to homeless individuals discharged from hospitals who still require medical supervision before they can return to shelters or transitional housing. Its Outpatient Therapy Center delivers psychotherapy at no cost to individuals, families, and couples who are homeless, at risk of homelessness, or unable to pay—and its job-readiness pipeline connects residents to vocational pathways through training partners including Associated Barber College downtown. The Rescue Mission's most complex operational capacity involves running simultaneous emergency shelter, long-term residential rehabilitation, children's services, and community meal production serving hundreds of San Diegans on peak holiday service days.