| NPI | 1255662516 |
|---|---|
| Other Name | VICTORY WELLNESS CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | SUPORIOR R HARRIS C.E.O./ Certified Nurse Practitione 251-610-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS R866985) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |