MOONLIGHT MOUNTAIN RECOVERY, INC
Substance Abuse Rehabilitation Facility · POCATELLO, ID
Organization Active NPI 1861983413
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | ✓ | 1 | ID |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | — | — | |
| Adult Mental Health Clinic/Center | 261QM0850X | — | — | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | — | — |
Other Substance Abuse Rehabilitation Facility providers in Idaho
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See all Substance Abuse Rehabilitation Facility providers in Idaho →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.