Crescent Moon Recovery Of Newport Beach

LBN: Crescent Moon Recovery Of Newport Beach
Crescent Moon Recovery Of Newport Beach is an health care organization with primary practice located at 1000 Quail St Ste 160 , Newport Beach CA 92660-2721. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Crescent Moon Recovery Of Newport Beach can be contacted via phone (949) 239-0911, or through Evans, Jeff via phone (646) 761-9659.

Contact Information

Primary practice address
1000 Quail St Ste 160 Newport Beach CA 92660-2721
Phone: (949) 239-0911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jeff
Phone: (646) 761-9659

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1174273106
LBN Legal business name Crescent Moon Recovery Of Newport Beach
DBA Doing business as
Authorized official Evans, Jeff
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 24th, 2022
Last updated Mar 24th, 2022 - about 2 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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