| NPI | 1376045104 |
|---|---|
| Doing Business As | VICTORY IN JESUS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAMS Director 979-533-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 4253-4254) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |