| NPI | 1871672295 |
|---|---|
| Doing Business As | VICTORY BOYS' HOME |
| Entity Type | Organization |
| Authorized Contact | JAMES KILGORE Chief Executive Officer 423-639-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: VA SS-139-05) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2020-08-22 |