| Crescent Moon Recovery- Orange County Iop, Llc | |
|
308 22nd St Huntington Beach CA 92648-3308 | |
| (714) 242-5099 | |
| Not Available |
| Full Name | Crescent Moon Recovery- Orange County Iop, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 308 22nd St, Huntington Beach, California |
| Authorized Official Name and Position | Jeff Evans (COO) |
| Authorized Official Contact | 6467619659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Recovery- Orange County Iop, Llc 308 22nd St Huntington Beach CA 92648-3308 Ph: (714) 242-5099 | Crescent Moon Recovery- Orange County Iop, Llc 308 22nd St Huntington Beach CA 92648-3308 Ph: (714) 242-5099 |
| NPI Number | 1497415137 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497415137 | NPI | - | NPPES |
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