NPI | 1356819650 |
---|---|
Doing Business As | MIRACLES RECOVERY |
Entity Type | Organization |
Authorized Contact | JEFFREY BLOSSOM Owner/CEO 772-766-0215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-11-05 |
Last Update Date | 2023-08-30 |