| Miracle Ranch | |
|
73730 Highway 111 Ste 8 Palm Desert CA 92260-4018 | |
| (760) 834-1586 | |
| Not Available |
| Full Name | Miracle Ranch |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 73730 Highway 111 Ste 8, Palm Desert, California |
| Authorized Official Name and Position | Heather Gaedt (CEO) |
| Authorized Official Contact | 7608341586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Ranch 73730 Highway 111 Ste 8 Palm Desert CA 92260-4018 Ph: (760) 834-1586 | Miracle Ranch 73730 Highway 111 Ste 8 Palm Desert CA 92260-4018 Ph: (760) 834-1586 |
| NPI Number | 1487184560 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487184560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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