Crescent Moon Recovery, Llc

LBN: Crescent Moon Recovery, Llc
Crescent Moon Recovery, Llc is an health care organization with primary practice located at 11770 Warner Ave Ste 207 , Fountain Valley CA 92708-2661. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Crescent Moon Recovery, Llc can be contacted via phone (714) 464-8474, or through Wade, Adam via phone (661) 706-8898.

Contact Information

Primary practice address
11770 Warner Ave Ste 207 Fountain Valley CA 92708-2661
Phone: (714) 464-8474
Fax: (714) 948-8883
Website:
Map and Directions
Authorized official contact:
Name: Wade, Adam Doctor of Medicine (MD)
Phone: (661) 706-8898

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1992384663
LBN Legal business name Crescent Moon Recovery, Llc
DBA Doing business as
Authorized official Wade, Adam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2021
Last updated May 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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