Organization
THE EXTRA MILE, REGION IV, INC.
Active
Other names
Meredith's Place
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE W ALLGOOD (CREDENTIALS)
(337) 237-2090
Entity
Organization
Contact information
Practice address
808 PITT RD, SCOTT, LA 70583-4608
(337) 337-8064
(337) 237-2083
Mailing address
720 SAINT JOHN ST, LAFAYETTE, LA 70501-6706
(337) 237-2090
(337) 237-2083
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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