| NPI | 1770006496 |
|---|---|
| Former Legal Business Name | VICTORIOUS BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | EDITH UKANWOKE Owner 702-723-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-03-25 |