Organization · Type 2 NPI

Miracle Houses Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC

NPI number 1679058440 Active

Practice location

7827 Kerrybrook Cir
Charlotte, NC 28214-2513

Call (704) 535-4447 Map

Fax (704) 535-4476

Mailing address

7508 E Independence Blvd Ste 119
Charlotte, NC 28227-9409

Other practice locations

251 Valleybrook Ln, Troutman, NC 28166-9645 · (704) 535-4447

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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NPI record

NPI: 1679058440
Entity type: Organization (Type 2)
Issued: Sep 27, 2018
Last updated: Jan 4, 2022
Status: Active
Subpart: Yes of Miracle Houses

Other names

Miracle Houses of Valley Brook · doing business as
Miracler Houses of Kerry Brook · doing business as

Authorized official

Patsy Young Camp
Executive Director
(704) 535-4447

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1679058440

Miracle Houses Inc's National Provider Identifier is 1679058440, issued on Sep 27, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 4, 2022.