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1457822413
VICTA LLC
PROVIDENCE, RI
NPI
1457822413
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Entity Type
Organization
Authorized Contact
ALEXANDER DONOYAN
CEO
401-300-5757
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date
2018-12-16
Last Update Date
2019-02-21
Business Address
VICTA LLC
110 ELMWOOD AVE
PROVIDENCE, RI 02907-2423
Phone number: 401-300-5757
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Mailing Address
VICTA LLC
110 ELMWOOD AVE
PROVIDENCE, RI 02907-2423
Phone number: 401-300-5757
Copy
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