Organization
MIRACLE HOUSES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY Y. CAMP (EXECUTIVE DIRECTOR)
(704) 535-4447
Entity
Organization
Contact information
Practice address
1418 JULES CT, CHARLOTTE, NC 28226-8912
(704) 367-5041
(704) 367-5041
Mailing address
4904 HAMILTON CIR, CHARLOTTE, NC 28216-2822
(704) 391-0339
(704) 535-4476
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
05/15/2019
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