Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOONLIGHT MOUNTAIN RECOVERY, INC
Active OrganizationSubstance Abuse Rehabilitation Facility · POCATELLO, ID
Registration Details
- NPI Number
- 1861983413
- Provider Type
- Organization
- NPI Issued
- May 18, 2018 (7.9281280410571 yrs)
- Last Updated
- Jan 13, 2021
- License
-
1 (ID)
Practice Information
- Address
-
5230 W MOONLIGHT MINE RDPOCATELLO, ID, 832019013Browse ID providers · Browse ZIP 83201
- Phone
- 2085059990
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
- Additional Specialty
- Adult Mental Health Clinic
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
- Additional Specialty
- Substance Abuse Rehabilitation Facility
Other Substance Abuse Rehabilitation Facility Organizations in POCATELLO, ID
| Name | NPI |
|---|---|
| FREEDOM RECOVERY LLC | 1861159238 |
| FOSTER INVESTMENTS LLC | 1033092465 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.