institution
Crescent Moon Recovery, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Huntington Beach, California
NPI 1497414379

Crescent Moon Recovery, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Huntington Beach, CA and is specialized in Rehabilitation, Substance Use Disorder. Crescent Moon Recovery, Llc practices in Huntington Beach, CA. The NPI Number for Crescent Moon Recovery, Llc is 1497414379 and holds a License No. (California).

The current practice location address for Crescent Moon Recovery, Llc is 18652 Florida St, Huntington Beach, CA and can be reached out via phone at 714-464-8474 and via fax at 714-948-8883.

Location: 18652 Florida St, Huntington Beach, CA, 92648-6000
institution
Provider Profile Details
NPI Number
1497414379
Provider Name
Crescent Moon Recovery, Llc
Credential
Provider Entity Type
Organization
Address
18652 Florida St, Huntington Beach, CA, 92648-6000
Phone Number
714-464-8474
Fax Number
714-948-8883
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CLR-90002425 01 CA CDPH CLIA LICENSE, STATE ID
300398AP 01 CA CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES, OUTPATIENT CERTIFICATION
661764 01 THE JOINT COMMISSION
05D2207074 01 CLINICAL AND PUBLIC HEALTH LABORATORY LICENSE, CLIA ID
institution
Provider Business Practice Location Address Details
Address
18652 Florida St
City
State
Zip
92648-6000
Phone Number
714-464-8474
Fax Number
714-948-8883
person
Provider Business Mailing Address Details
Address
18652 Florida St
City
State
Zip
92648-6000
Phone Number
714-464-8474
Fax Number
714-948-8883
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
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Definition
Definition to come...
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