Organization
MIRACLE HEALTH CARE SERVICES
Active
Parent organization
MIRACLE HOUSES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRACLE HOUSES, INC.
Authorized official
MR. XAVIER YOUNG B.S. (OWNER/ EXECUTIVE DIRECTOR)
(704) 315-3895
Entity
Organization
Contact information
Practice address
396 PIEDMONT AVE NE, UNIT 4013, ATLANTA, GA 30308-3400
(678) 705-8075
Mailing address
396 PIEDMONT AVE NE, UNIT 4013, ATLANTA, GA 30308-3400
(678) 705-8075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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