| NPI | 1174385934 |
|---|---|
| Doing Business As | MIRACLE MILE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JORDAN JACKELINI President 310-905-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-09-19 |