Provider Demographics
NPI:1285770206
Name:MIRACLES, INCORPORATED
Entity type:Organization
Organization Name:MIRACLES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:316-303-9520
Mailing Address - Street 1:1015 E 2ND ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3908
Mailing Address - Country:US
Mailing Address - Phone:316-303-9520
Mailing Address - Fax:316-303-9602
Practice Address - Street 1:1250 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-2835
Practice Address - Country:US
Practice Address - Phone:316-264-5900
Practice Address - Fax:316-264-2881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS327251B00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility