| Miracles Of A Second Chance Inc | |
|
507 19th Ter Bisbee AZ 85603-1705 | |
| (520) 255-2158 | |
| Not Available |
| Full Name | Miracles Of A Second Chance Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 507 19th Ter, Bisbee, Arizona |
| Authorized Official Name and Position | Angela Saavedra (PRESIDENT/CEO) |
| Authorized Official Contact | 5202552158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracles Of A Second Chance Inc 415 Bernini Ave Sierra Vista AZ 85635-2369 Ph: (520) 456-6062 | Miracles Of A Second Chance Inc 507 19th Ter Bisbee AZ 85603-1705 Ph: (520) 255-2158 |
| NPI Number | 1710740097 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710740097 | NPI | - | NPPES |
| 1962572008 | Medicaid | AZ | |
| 1518503945 | Medicaid | AZ |
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