| NPI | 1528768819 |
|---|---|
| Former Legal Business Name | VICTUS COUNSELING & NUTRITION SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | FAITH CHARIS CARLSON Owner/Counselor 605-951-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-01-24 |