Organization
MIRACLE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER GAEDT PSY.D. (CEO)
(760) 834-1586
Entity
Organization
Contact information
Practice address
73730 HIGHWAY 111 STE 8, PALM DESERT, CA 92260-4018
(760) 834-1586
Mailing address
73730 HIGHWAY 111 STE 8, PALM DESERT, CA 92260-4018
(760) 834-1586
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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