NPI | 1295909877 |
---|---|
Doing Business As | MIRACLE RECOVERY CENTERS |
Entity Type | Organization |
Authorized Contact | NORMAN FRANK PATTON Executive Director 805-648-7857 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 072703 1) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 560007an) |
324500000X Substance Abuse Rehabilitation Facility (Licence: CA 56000cn) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2008-04-15 |