Crescent Moon Recovery- Orange County Iop, Llc

LBN: Crescent Moon Recovery- Orange County Iop, Llc
Crescent Moon Recovery- Orange County Iop, Llc is an health care organization with primary practice located at 308 22Nd St , Huntington Beach CA 92648-3308. 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 / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Crescent Moon Recovery- Orange County Iop, Llc can be contacted via phone (714) 242-5099, or through Evans, Jeff via phone (646) 761-9659.

Contact Information

Primary practice address
308 22Nd St Huntington Beach CA 92648-3308
Phone: (714) 242-5099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jeff
Phone: (646) 761-9659

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1497415137
LBN Legal business name Crescent Moon Recovery- Orange County Iop, Llc
DBA Doing business as
Authorized official Evans, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2021
Last updated Jan 10th, 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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