| NPI | 1346880960 |
|---|---|
| Doing Business As | VICTORY RECOVERY PARTNERS |
| Entity Type | Organization |
| Authorized Contact | TRACEY WALLACE VP Ops 631-696-4357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |