Organization · Type 2 NPI
Crescent Moon Recovery, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Fountain Valley, CA
NPI number
1992384663
Active
Practice location
11770 Warner Ave Ste 207
Fountain Valley, CA 92708-2661
Fax (714) 948-8883
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1992384663
Crescent Moon Recovery, LLC's National Provider Identifier is 1992384663, issued on Apr 7, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fountain Valley, CA. The record was last updated on May 20, 2021.