NPI | 1194432815 |
---|---|
Doing Business As | VICTORY RECOVERY PARTNERS |
Entity Type | Organization |
Authorized Contact | TRACEY WALLACE VP Operations 631-696-4357 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
Enumeration Date | 2022-11-02 |
Last Update Date | 2022-11-02 |