Miracle City, LLC
Miracle City, LLC is a Community/Behavioral Health Agency in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2800 Bruckner Blvd Ste 205Bronx, NY 10465-1972
Phone: (914) 222-4156
Fax: (320) 205-4576
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (NY) |
|---|
Record details
| NPI number | 1790223394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrea Corson — Chief Compliance Officer · (914) 222-4156 |
| NPI enumerated | February 3, 2017 |
| Last updated in NPPES | April 24, 2019 |
| Mailing address | 2800 Bruckner Blvd Ste 205, Bronx, NY 10465-1972 |
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