Organization
MIRACLE CONSULTING
Active
Parent organization
MIRACLE CONSULTING
Other names
Behavioral Group Innovations(BGI)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRACLE CONSULTING
Authorized official
MR. JERMAINE JORDAN OWNER (CEO)
(480) 593-7203
Entity
Organization
Contact information
Practice address
5225 N 19TH AVE, SUITE B, PHOENIX, AZ 85015-2903
(480) 593-7203
Mailing address
4903 E DIXON CIR, MESA, AZ 85205-6453
(480) 593-7203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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