| NPI | 1831978881 |
|---|---|
| Former Legal Business Name | MIRACLE REHAB INC. |
| Entity Type | Organization |
| Authorized Contact | ANN ANTEKELYAN CEO/President 914-482-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-05-23 |