NPI | 1730245010 |
---|---|
Doing Business As | VICTORY CENTER |
Entity Type | Organization |
Authorized Contact | CRISTI L BLALOCK Dir. Contracting/Compliance 423-467-3741 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TN L 229-076-1429) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2025-08-11 |