Organization
CMR REHAB CENTER OF SHERMAN OAKS, LLC
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
MR. JEFF EVANS (ADMISSIONS COORDINATOR)
(646) 761-9659
Entity
Organization
Contact information
Practice address
15303 VENTURA BLVD # 900-3, SHERMAN OAKS, CA 91403-3110
(747) 332-5800
Mailing address
15303 VENTURA BLVD # 900-3, SHERMAN OAKS, CA 91403-3110
(747) 332-5800
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
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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