VICTORY HEALTH CARE SERVICES LLC NPI 1205485588

NPI Information

VICTORY HEALTH CARE SERVICES LLC is an addiction (substance use disorder) counselor in Baltimore, MD. VICTORY HEALTH CARE SERVICES LLC NPI is 1205485588. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5209 YORK RD STE 2
BALTIMORE, MD
ZIP 21212-225
Phone: (443) 204-5144
Fax: (410) 617-8478

The provider's authorized official is Bode Akadri .
The authorized official title is Director and has the following contact phone number (443) 204-5144.

The CLIA number assigned to this NPI record is 21D2270729 - other - substance abuse with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2019 and was last updated on 9/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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