OrganizationActive
Rae Ann Moxley
NPI 1760734149 · Mental Illness Community Based Residential Treatment Facility · Libby, MT
Provider details
- NPI number
- 1760734149
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Rae Moxley, Sole Proprietor
- License
- 0044364-001 (MT)
Mailing address
459 Conifer Rd
Libby, MT 59923-2966
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2012-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.