EXTRA MILE RECOVERY, LLC – NPI #1164948196
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.
EXTRA MILE RECOVERY, LLC is a substance abuse rehabilitation facility located in MANTACHIE, MS. NPPES has assigned the NPI number 1164948196 to EXTRA MILE RECOVERY, LLC on August 22, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was last updated on Jan 07, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXTRA MILE RECOVERY, LLC below.
NPI Profile for
EXTRA MILE RECOVERY, LLC
(about 9 years ago)
MANTACHIE, MS 38855 Phone: (662) 246-2946 Fax:
OWNER/OPERATOR
Phone: (901) 626-4454
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.