Crescent Moon Center

Primary specialty

Recovery Care Clinic/CenterTaxonomy code 261QR0800X

Legal business name

CRESCENT MOON CENTER

Practice address

1007 Oak Hill Rd Ste B
Lafayette, CA 94549-3812

Phone

(925) 310-4374

NPI assigned

Nov 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie White

Title

Executive Director

Phone

(925) 310-4374

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1720623796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 OAK HILL RD STE B",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493812",
            "telephone_number": "925-310-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 OAK HILL RD STE B",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493812",
            "telephone_number": "925-310-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MOON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-310-4374"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cosmetic & Reconstructive Surgery Center
• Catarina Elizabeth Cota Ramirez
• Douglas Elwood Cowden, D.D.S.
• Mary Elizabeth Crago, M.A.
• Julia Christine Creason
• Chelsie Crilly, LMFT
• Devonta Crittenden
• Charles Crockett, MA, AMFT
• Ana K Cuadras
• Constance Ann D'Ambrosio, LMFT

• Recovery Care Clinic/Center in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Recovery Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.