OrganizationActive
Extra Mile Recovery, LLC
NPI 1164948196 · Substance Abuse Rehabilitation Facility · Mantachie, MS
Provider details
- NPI number
- 1164948196
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Scott Smith, Owner/Operator(901) 626-4454
Specialties & taxonomies
Residential Treatment Facilities
Practice location
720 Oak Grove Rd
Mantachie, MS 38855
Phone: (662) 246-2946
Approximate (ZIP-level) locationGet directions
Mailing address
720 Oak Grove Rd
Mantachie, MS 38855
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2025-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.