Organization
MIRACLE HOUSES, INC.
Active
Other names
MIRACLE HOUSES INC
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY Y. CAMP (EXECUTIVE DIRECTOR)
(704) 535-4447
Entity
Organization
Contact information
Practice address
6120 EAGLE PEAK DR, CHARLOTTE, NC 28214-2224
(704) 535-4447
(704) 535-4476
Mailing address
9307 MONROE RD STE K, CHARLOTTE, NC 28270-1485
(704) 535-4447
(704) 535-4476
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049163
—
NC
Enumeration date
11/03/2020
Last updated
10/25/2023
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