Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOONLIGHT MOUNTAIN RECOVERY, INC
Active OrganizationMOONLIGHT MOUNTAIN RECOVERY, INC is a Substance Abuse Rehabilitation Facility organization located in POCATELLO, Idaho. NPI 1861983413 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · POCATELLO, ID
Registration Details
- NPI Number
- 1861983413
- Provider Type
- Organization
- NPI Issued
- May 18, 2018 (8.2506434325776 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.