| NPI | 1205485588 |
|---|---|
| Former Legal Business Name | VICTORY HEALTH CARE SERVICES LLC |
| Doing Business As | VICTORY HEALTHCARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | BODE AKADRI Director 443-529-9099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-08-14 |