Organization · Type 2 NPI
Miracles of A Second Chance Inc
Substance Abuse Rehabilitation Facility · Bisbee, AZ
NPI number
1710740097
Active
Practice location
507 19th Ter
Bisbee, AZ 85603-1705
Mailing address
PO Box 1002
Bisbee, AZ 85603-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Behavior Technician | 106S00000X | None listed |
| Registered Dietitian | 133V00000X | None listed |
| Registered Nurse | 163W00000X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Adult Medicine Physician | 207QA0505X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
Other substance abuse rehabilitation facility providers in Bisbee
About NPI 1710740097
Miracles of A Second Chance Inc's National Provider Identifier is 1710740097, issued on Jan 31, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Bisbee, AZ. The record was last updated on Jul 11, 2026.