| NPI | 1487392619 |
|---|---|
| Doing Business As | VICTORY RECOVERY PARTNERS |
| Entity Type | Organization |
| Authorized Contact | TRACEY WALLACE VP Operations 631-696-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |