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Crescent Moon Therapy, Llc
Community/Behavioral Health Agency in Park Ridge, Illinois
NPI 1013663996

Crescent Moon Therapy, Llc is a Community/Behavioral Health Agency based in Park Ridge, IL. Crescent Moon Therapy, Llc practices in Park Ridge, IL. The NPI Number for Crescent Moon Therapy, Llc is 1013663996 and holds a License No. (Illinois).

The current practice location address for Crescent Moon Therapy, Llc is 1123 Fortuna Ave, Park Ridge, IL and can be reached out via phone at 847-975-5128. You can also correspond with Crescent Moon Therapy, Llc through the mailing address at 1123 FORTUNA AVE, PARK RIDGE, IL - 60068-1956 (mailing address contact number: 847-975-5128).

Location: 1123 Fortuna Ave, Park Ridge, IL, 60068-1956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013663996
Provider Name
Crescent Moon Therapy, Llc
Credential
Provider Entity Type
Organization
Address
1123 Fortuna Ave, Park Ridge, IL, 60068-1956
Phone Number
847-975-5128
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205416328 05 IL
institution
Provider Business Practice Location Address Details
Address
1123 Fortuna Ave
City
Park Ridge
State
Illinois
Zip
60068-1956
Phone Number
847-975-5128
Fax Number
person
Provider Business Mailing Address Details
Address
1123 Fortuna Ave
City
Park Ridge
State
Illinois
Zip
60068-1956
Phone Number
847-975-5128
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
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Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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