Organization · Type 2 NPI
Miracle House, Inc
Addiction (Substance Use Disorder) Counselor · Ventura, CA
NPI number
1295909877
Active
Practice location
1997 E Main St
Ventura, CA 93001-3406
Fax (805) 648-7540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 072703 1 (CA) |
| Substance Abuse Rehabilitation Facility | 324500000X | 560007AN (CA) |
| Substance Abuse Rehabilitation Facility | 324500000X | 56000CN (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
About NPI 1295909877
Miracle House, Inc's National Provider Identifier is 1295909877, issued on Apr 15, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ventura, CA. The record was last updated on Apr 15, 2008.