Organization · Type 2 NPI
Extra Mile Recovery, LLC
Substance Abuse Rehabilitation Facility · Mantachie, MS
NPI number
1164948196
Active
Practice location
720 Oak Grove Rd
Mantachie, MS 38855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
About NPI 1164948196
Extra Mile Recovery, LLC's National Provider Identifier is 1164948196, issued on Aug 22, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mantachie, MS. The record was last updated on Jan 7, 2025.