Organization
MIRACLE HOUSES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATSY Y CAMP BA (EXECUTIVE DIRECTOR)
(704) 535-4447
Entity
Organization
Contact information
Practice address
5212 SWEARNGAN RD, CHARLOTTE, NC 28216-2932
(704) 394-7838
(704) 535-4476
Mailing address
7508 E INDEPENDENCE BLVD STE 119, CHARLOTTE, NC 28227-9409
(704) 535-4447
(704) 535-4476
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
05/13/2019
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