| NPI | 1205524980 |
|---|---|
| Former Legal Business Name | VICTORY BEHAVIORAL HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | CLARA UGUWIBE-OGUNSEYE Manager 770-895-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |