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Organization

MIRACLE HOUSE, INC

Active
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Organization

MIRACLE HOUSE, INC

Active
Other names
Miracle Recovery Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NORMAN FRANK PATTON (EXECUTIVE DIRECTOR)
(805) 648-7857
Entity
Organization

Contact information

Practice address
1997 E MAIN ST, VENTURA, CA 93001-3406
(805) 648-7857
(805) 648-7540
Mailing address
1997 E MAIN ST, VENTURA, CA 93001-3406
(805) 648-7857
(805) 648-7540

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
072703 1
CA
324500000X
Substance Abuse Rehabilitation Facility
560007AN
CA
324500000X
Substance Abuse Rehabilitation Facility
56000CN
CA

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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