NPI 1164948196

Extra Mile Recovery, LLC

Organisation Substance Abuse Rehabilitation Facility Mantachie, MS

Practice location

Address: 720 Oak Grove Rd, Mantachie, MS 38855
Phone: (662) 246-2946

Authorised official

Name: Scott Smith
Title: Owner/Operator
Phone: (901) 626-4454

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1164948196
Entity type: Organization
NPI issued: 22 Aug 2017
Record last updated: 7 Jan 2025

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.