Organization
MIRACLES BEHAVIORAL HEALTH CENTER
Active
Organization
MIRACLES BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARAL JAMAL WRIGHT (CEO)
(804) 400-6974
Entity
Organization
Contact information
Practice address
66 BRIANDWOOD DR., SUITE A, NEWNAN, GA 30265
(678) 438-1255
Mailing address
1108 EAST MAIN STREET, STE. 803, RICHMOND, VA 23219
(804) 343-2723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
822
VA
Other
Enumeration date
11/06/2006
Last updated
04/29/2008
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