Miracles In Action, LLC
Clinic/Center, Adult Mental Health in Northridge, CA. Organization (NPI-2).
NPI number1003533944
StatusActive
Last updated in NPPESOct 21, 2022
Details
- NPI
- 1003533944
- Entity type
- Organization (NPI-2)
- Legal business name
- Miracles In Action, LLC
- Organization subpart
- No
- Enumeration date
- Oct 21, 2022
- Certification date
- Oct 21, 2022
- Last updated
- Oct 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
9241 Reseda Blvd Ste 200Northridge, CA 91324-3138
Phone 818-429-9103 · Fax 747-237-7860
Mailing address
9241 Reseda Blvd Ste 200Northridge, CA 91324-3138
Phone 818-429-9103 · Fax 747-237-7860
Authorized official
Amna Butler
Director/Operator
8184299103
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