Mission Mountain Recovery and Wellness LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MISSION MOUNTAIN RECOVERY AND WELLNESS LLC

Practice address

15 3Rd Ave E
Polson, MT 59860-2113

Phone

(406) 319-2082

NPI assigned

Mar 17, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rose Smith

Title

Co/Owner- Director of Operations

Phone

(406) 360-0298

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter S Aimsback Jr., ACLC

  • Addiction (Substance Use Disorder) Counselor
  • Polson, MT
  • NPI 1992638589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1003764911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598600163",
            "telephone_number": "406-360-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 3RD AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598602113",
            "telephone_number": "406-319-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MOUNTAIN RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CO/OWNER- DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "406-360-0298"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lisa McNulty, P.T.
• Emily Marshall Michalik, M.ED.
• Midtown Optometry PLLC
• Mind Flow Therapeutics LLC
• Mission Mountain Medical Inc
• Mission Valley Physical Therapy, PC
• Montana Cancer Specialists
• Montana Dental Group LLC
• Montana Psychiatry Consultation LLC
• Montana Therapy and Consulting PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Polson, MT
• Providers in Polson, MT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.