Organization · Type 2 NPI
The Extra Mile, Region Iv, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Scott, LA
NPI number
1154016475
Active
Practice location
808 Pitt Rd
Scott, LA 70583-4608
Fax (337) 237-2083
Mailing address
720 Saint John St
Lafayette, LA 70501-6706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
7 other providers at this address
- Keystone Acquisitions, LLCSubstance Abuse Rehabilitation Facility Scott, LA NPI 1033528633
- Keystone Recovery, L.l.c.Substance Abuse Rehabilitation Facility Scott, LA NPI 1932477601
- Townsend Treatment Center, LLCSubstance Abuse Rehabilitation Facility Scott, LA NPI 1821458951
- Claire RussoCase Manager/Care Coordinator Scott, LA NPI 1003604067
- Desiree ReedAddiction (Substance Use Disorder) Counselor Scott, LA NPI 1740094218
- Erin Ashley Gannon, RNRegistered Nurse Scott, LA NPI 1841095486
- Katrina Prejean, MS, LPCProfessional Counselor Scott, LA NPI 1063387827
About NPI 1154016475
The Extra Mile, Region Iv, Inc.'s National Provider Identifier is 1154016475, issued on Apr 11, 2023. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Scott, LA. The record was last updated on Apr 11, 2023.