CRESCENT MOON RECOVERY, LLC
NPI 1992384663
Clinic/Center - Rehabilitation, Substance Use Disorder in Fountain Valley, CA

Q: What is Crescent Moon Recovery, LLC's NPI number?

The NPI number for Crescent Moon Recovery, LLC is 1992384663. It was assigned to this organization in the NPPES registry on April 7, 2021.

Q: What is Crescent Moon Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since April 07, 2021

11770 WARNER AVE STE 207, FOUNTAIN VALLEY, CA 92708(714) 464-8474(714) 948-8883 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2021, Apr 7, 2021 (2 updates tracked since 2021).

On this page

About Crescent Moon Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT MOON RECOVERY, LLC (NPI 1992384663) is a healthcare organization registered as a rehabilitation, substance use disorder in Fountain Valley, California and active in the NPI registry since April 2021. The organization lists Adam Wade, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992384663

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCRESCENT MOON RECOVERY, LLC

Location Address11770 WARNER AVE STE 207Fountain Valley, CA 92708-2661

Mailing Address11770 Warner Ave Ste 207Fountain Valley, CA 92708-2661 · (714) 464-8474 · Fax (714) 948-8883

Phone(714) 464-8474

Fax(714) 948-8883

Organization SubpartYes

Authorized OfficialAdam WadeCeo · (661) 706-8898

Enumeration DateApril 7, 2021

Last NPPES UpdateMay 20, 20212 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1992384663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

11770 WARNER AVE STE 207, Fountain Valley, CA 92708

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Moon Recovery, LLC's NPI number?

The NPI number for Crescent Moon Recovery, LLC is 1992384663. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Crescent Moon Recovery, LLC located?

Crescent Moon Recovery, LLC is located at 11770 Warner Ave Ste 207, Fountain Valley, CA 92708. The listed phone number is (714) 464-8474.

What is Crescent Moon Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Crescent Moon Recovery, LLC was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.