CRESCENT MOON CENTER


Address: 1007 Oak Hill Rd Ste B, Lafayette, CA 94549-3812
Phone: 9253104374

CRESCENT MOON CENTER (NPI# 1720623796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720623796
Entity Type Organization
Organization Name CRESCENT MOON CENTER
Practice Address 1007 Oak Hill Rd Ste B
Lafayette
CA 94549-3812
Practice Telephone 9253104374
Mailing Telephone 9253104374
Enumeration Date 2019-11-13
Last Update Date 2019-11-13
Authorized Official Name LESLIE WHITE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9253104374
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0800X Clinic/Center
Specialization: Recovery Care
Ambulatory Health Care Facilities

Office Location

Street Address 1007 OAK HILL RD STE B
City LAFAYETTE
State CA
Zip Code 94549-3812

Providers in the same zip code

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1104427004 Veronica Adelaid Valera-averilla Behavior Technician 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 2020-11-06
1679128870 Zong Ning Zhou Behavior Technician 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 2019-08-05
1912551227 Tamiesha Jackson Behavior Technician Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2019-07-25
1528525375 Tiara Lajai Aubrey Behavior Technician 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 2019-02-28
1215409990 Marisa Della Marmolejo Case Manager/Care Coordinator Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-12-19
1235608399 Andrew Thompson Behavior Technician 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-11-19
1982172953 Amber Jackson Behavior Technician Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-11-08
1104393396 Alexis Taper Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-10-26
1023508793 Alyssa Savinovich Behavior Technician 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 2018-05-17
1831689140 Kannambra M Raja Behavior Technician Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 2018-05-11
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Taxonomy Information

Taxonomy Code 261QR0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Recovery Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1639668114 The Lighthouse-home for Medically Fragile Children Clinic/Center 206 W Century Blvd, Los Angeles, CA 90003-4502 2018-05-09
1902329444 Shawn Singh Uppal Clinic/Center 4531 Sunny Oak Dr, Turlock, CA 95382-8665 2017-07-17
1104293141 Jwch Institute, Inc. Clinic/Center 303 E 52nd St, Los Angeles, CA 90011-4513 2015-08-25
1750633871 Cheznie Recovery Group Clinic/Center 14061 Chestnut St, Westminster, CA 92683-4262 2012-10-12
1992005359 Tresses Etc Clinic/Center 5740 Kiyot Way, Playa Vista, CA 90094-2102 2010-11-01
1780860502 Jwch Institute Inc. Clinic/Center 1218 E Compton Blvd, Compton, CA 90221-3310 2008-01-10
1548465958 Basen Inc Clinic/Center 460 E Carson Plaza Dr Ste 106, Carson, CA 90746-3270 2007-06-15
1952518649 Genesis Substance Abuse Services Clinic/Center 7475 N Palm Ave Ste 107, Fresno, CA 93711-5763 2007-05-16
1700411436 Abilities Recovery Center Inc Clinic/Center 2285 Westwood Blvd, Los Angeles, CA 90064-2017 2020-03-03
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Competitor

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City LAFAYETTE
Zip Code 94549

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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