Miracle House INC
NPI #1184188104 in Troutman, North Carolina
Provider Information
- NPI Number
- 1184188104
- Entity Type
- Organization
- Organization Name
- Miracle House INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MIRACLE HOUSE INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Jan 25, 2019
Practice Location
- Address
- 332 WINCHESTER RD
- City
- Troutman
- State
- North Carolina
- ZIP Code
- 28166-9644
- Phone
- (704) 535-4447
Authorized Official
- Name
- MRS. PATSY CAMP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (704) 535-4447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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