| NPI | 1548640477 |
|---|---|
| Other Name | VICTORY GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | NICOLE HALL Residential Director 732-408-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-04-29 |