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Organization

CRESCENT MOON RECOVERY OF NEWPORT BEACH

Active
Parent organization
CRESCENT MOON RECOVERY- ORANGE COUNTY IOP, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRESCENT MOON RECOVERY- ORANGE COUNTY IOP, LLC
Authorized official
JEFF EVANS (DIRECTOR OF ADMISSIONS)
(646) 761-9659
Entity
Organization

Contact information

Practice address
1000 QUAIL ST STE 160, NEWPORT BEACH, CA 92660-2721
(949) 239-0911
Mailing address
1000 QUAIL ST STE 160, NEWPORT BEACH, CA 92660-2721

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
03/24/2022
Last updated
03/24/2022
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