Crescent Moon Recovery, Llc | |
11770 Warner Ave Ste 207 Fountain Valley CA 92708-2661 | |
(714) 464-8474 | |
(714) 948-8883 |
Full Name | Crescent Moon Recovery, Llc |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 11770 Warner Ave Ste 207, Fountain Valley, California |
Authorized Official Name and Position | Adam Wade (CEO) |
Authorized Official Contact | 6617068898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crescent Moon Recovery, Llc 11770 Warner Ave Ste 207 Fountain Valley CA 92708-2661 Ph: (714) 464-8474 | Crescent Moon Recovery, Llc 11770 Warner Ave Ste 207 Fountain Valley CA 92708-2661 Ph: (714) 464-8474 |
NPI Number | 1992384663 |
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Provider Enumeration Date | 04/07/2021 |
Last Update Date | 05/20/2021 |
Certification Date | 05/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992384663 | NPI | - | NPPES |
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