Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent Moon Recovery, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1992384663

Crescent Moon Recovery, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fountain Valley, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11770 Warner Ave Ste 207
Fountain Valley, CA 92708-2661
Phone: (714) 464-8474
Fax: (714) 948-8883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1992384663
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCrescent Moon Recovery, LLC
Authorized official Adam Wade — Ceo · (661) 706-8898
NPI enumeratedApril 7, 2021
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing address11770 Warner Ave Ste 207, Fountain Valley, CA 92708-2661

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