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CRESCENT MOON RECOVERY NEWPORT BEACH NPI 1770233728


NPI Information

NPI: 1770233728
Provider Name: CRESCENT MOON RECOVERY NEWPORT BEACH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2901 W COAST HWY
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 997-0080
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CRESCENT MOON RECOVERY NEWPORT BEACH is a rehabilitation and substance use disorder clinic center in Newport Beach, CA. CRESCENT MOON RECOVERY NEWPORT BEACH NPI is 1770233728. The provider is registered as an organization entity type.

The provider's business location address is:

2901 W COAST HWY
NEWPORT BEACH, CA
ZIP 92663-023
Phone: (949) 997-0080

The provider's authorized official is Jeff Evans .
The authorized official title is Admissions Director and has the following contact phone number (646) 761-9659.

The enumeration date for this NPI number is 3/24/2022 and was last updated on 3/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.