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CRESCENT MOON CENTER
NPI 1720623796
Clinic/Center - Recovery Care in Lafayette, CA

Active since November 13, 2019
1007 OAK HILL RD STE B, LAFAYETTE, CA 94549(925) 310-4374 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Recovery Care

About CRESCENT MOON CENTER

This page provides the complete NPI Profile along with additional information for Crescent Moon Center, a provider established in Lafayette, California operating as a Clinic/center, focusing in recovery care . The healthcare provider is registered in the NPI registry with number 1720623796 assigned on November 2019. The practitioner's primary taxonomy code is 261QR0800X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Leslie White (Executive Director)

NPI
1720623796 Verify this NPI
Provider Name
CRESCENT MOON CENTER
Entity Type
Organization
Location Address
1007 OAK HILL RD STE B LAFAYETTE, CA 94549
Location Phone
(925) 310-4374
Mailing Address
1007 OAK HILL RD STE B LAFAYETTE, CA 94549
Mailing Phone
(925) 310-4374
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2019
Last Update Date
11-13-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Recovery Care

Taxonomy Code
261QR0800X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LESLIE WHITE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(925) 310-4374

Reviews for CRESCENT MOON CENTER

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Frequently Asked Questions

What is CRESCENT MOON CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1720623796, enumerated as an "organization" on November 13, 2019.

Where is the provider located?

The provider is located at 1007 OAK HILL RD STE B LAFAYETTE, CA 94549 and the phone number is (925) 310-4374.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0800X and a focus in Recovery Care.