| Miracle Group Inc | |
|
1800 State St Harrisburg PA 17103-1551 | |
| (717) 232-6170 | |
| (717) 307-3535 |
| Full Name | Miracle Group Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 State St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Cheryl Floyd-brown (CEO/PRESIDENT) |
| Authorized Official Contact | 7172326170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Group Inc 1800 State St Harrisburg PA 17103-1551 Ph: (717) 232-6170 | Miracle Group Inc 1800 State St Harrisburg PA 17103-1551 Ph: (717) 232-6170 |
| NPI Number | 1053710814 |
|---|---|
| Provider Enumeration Date | 08/18/2014 |
| Last Update Date | 08/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053710814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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