MOONLIGHT MOUNTAIN RECOVERY, INC
Substance Abuse Rehabilitation Facility
Active
Organization
NPI: 1861983413
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) | 261QM0801X | No | - |
| Clinic/Center - Adult Mental Health | 261QM0850X | No | - |
| Clinic/Center - Rehabilitation, Substance Use Disorder | 261QR0405X | No | - |
| Substance Abuse Rehabilitation Facility | 324500000X | Yes | 1 (ID) |
Frequently Asked Questions
NPI 1861983413 is the National Provider Identifier for MOONLIGHT MOUNTAIN RECOVERY, INC, a Substance Abuse Rehabilitation Facility provider located in Pocatello, ID. This NPI was enumerated on May 18, 2018.
Quick Facts
- NPI
- 1861983413
- Type
- Organization
- Enumerated
- May 18, 2018
- Last Updated
- Jan 13, 2021
Nearby Providers
-
AMANDA MINOR, LPC
Counselor - Professional
-
BRIAN HANSEN, DO
Family Medicine
-
DR. PAUL OTTO, PHARM.D.
Pharmacist
-
AMY CHRISTENSEN LCPC LLC
Counselor - Mental Health
-
JON MALAN, DO
Family Medicine