Organization
CRESCENT MOON RECOVERY 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 (ADMISSIONS DIRECTOR)
(646) 761-9659
Entity
Organization
Contact information
Practice address
2901 W COAST HWY, NEWPORT BEACH, CA 92663-4023
(949) 997-0080
Mailing address
2901 W COAST HWY, NEWPORT BEACH, CA 92663-4023
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult 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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