# MIRACLE HOUSES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIRACLE HOUSES
- **Other names:** Miracler Houses of Kerry Brook, Miracle Houses of Valley Brook
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679058440
- **Legal business name:** MIRACLE HOUSES
- **Authorized official:** PATSY YOUNG CAMP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (704) 535-4447

## Contact information

- **Practice address:** 7827 KERRYBROOK CIR, CHARLOTTE, NC 28214-2513
- **Practice address phone:** (704) 535-4447
- **Practice address fax:** (704) 535-4476
- **Mailing address:** 7508 E INDEPENDENCE BLVD STE 119, CHARLOTTE, NC 28227-9409
- **Mailing address phone:** (704) 535-4447
- **Mailing address fax:** (704) 535-4476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 01/04/2022