NPI 1760734149

Rae Ann Moxley

Organisation Mental Illness Community Based Residential Treatment Facility Libby, MT

Practice location

Address: 459 Conifer Rd, Libby, MT 59923-2966
Phone: (406) 295-9980

Authorised official

Name: Rae Ann Moxley
Title: Sole Proprietor
Phone: (406) 293-9980

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 0044364-001 (MT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Montana →

Registry record

NPI: 1760734149
Entity type: Organization
NPI issued: 9 Oct 2012
Record last updated: 9 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.