| NPI | 1326752833 |
|---|---|
| Other Name | VICTORY PLACE |
| Entity Type | Organization |
| Authorized Contact | RENEE DICKERSON Sole Manager 773-888-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |