Organization
MIRACLE HOUSES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY Y. CAMP (EXECUTIVE DIRECTOR)
(704) 535-4447
Entity
Organization
Contact information
Practice address
4410 E INDEPENDENCE BLVD UNIT B, CHARLOTTE, NC 28205-7404
(704) 315-3895
Mailing address
4410 E INDEPENDENCE BLVD UNIT B, CHARLOTTE, NC 28205-7404
(704) 315-3895
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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