Organization
CRESCENT MOON RECOVERY, LLC
Active
Parent organization
CRESCENT MOON RECOVERY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRESCENT MOON RECOVERY, LLC
Authorized official
DR. ADAM WADE MD (CEO)
(661) 706-8898
Entity
Organization
Contact information
Practice address
11770 WARNER AVE STE 207, FOUNTAIN VALLEY, CA 92708-2661
(714) 464-8474
(714) 948-8883
Mailing address
11770 WARNER AVE STE 207, FOUNTAIN VALLEY, CA 92708-2661
(714) 464-8474
(714) 948-8883
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
05/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us