| NPI | 1205485588 |
|---|---|
| Former Legal Business Name | VICTORY HEALTH CARE SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | BODE AKADRI Director 443-204-5144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |