| NPI | 1699872028 |
|---|---|
| Doing Business As | VICTORIA GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | DAVID T BRADLEY CEO 520-750-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-1807) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-04-07 |