Organization
MIRACLE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN MAGBIE (OWNER)
(480) 494-7642
Entity
Organization
Contact information
Practice address
5320 N 16TH ST STE 204212, PHOENIX, AZ 85016-3220
(480) 494-7642
Mailing address
5320 N 16TH ST STE 204212, PHOENIX, AZ 85016-3220
(480) 494-7642
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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