Organization
MANES AND MIRACLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY PITTMAN (DIRECTOR)
(480) 389-7936
Entity
Organization
Contact information
Practice address
43421 N FRIEND AVE, SAN TAN VALLEY, AZ 85140-9621
(480) 359-6470
Mailing address
1180 W ROSEMARY AVE, QUEEN CREEK, AZ 85140-7689
(480) 389-7936
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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