VICTA LLC

PROVIDENCE, RI
NPI1104317007
Entity TypeOrganization
Authorized ContactALEXANDER DONOYAN
CEO
401-300-5757
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Additional Taxonomies101Y00000X Counselor
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
175T00000X Peer Specialist
103TC1900X Psychologist, Counseling
163WP2201X Registered Nurse, Ambulatory Care
101YM0800X Counselor, Mental Health
133NN1002X Nutritionist, Nutrition, Education
103TA0400X Psychologist, Addiction (Substance Use Disorder)
101YA0400X Counselor, Addiction (Substance Use Disorder)
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
(Licence: RI  648.01)
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: RI  648.01)
106H00000X Marriage & Family Therapist
207RI0200X Internal Medicine, Infectious Disease
Enumeration Date2018-05-25
Last Update Date2026-03-23
Business Address
VICTA LLC
110 ELMWOOD AVE # A
PROVIDENCE, RI 02907
Phone number: 401-868-0654
Mailing Address
VICTA LLC
110 ELMWOOD AVE
PROVIDENCE, RI 02907-2423
Phone number: 401-300-5757