VICTORY DEVELOPMENT PROGRAMS NPI 1700110798

NPI Information

NPI: 1700110798
Provider Name: VICTORY DEVELOPMENT PROGRAMS
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
17411 E WARREN AVE
DETROIT, MI
ZIP 48224
Phone: (313) 686-9172
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VICTORY DEVELOPMENT PROGRAMS is a voluntary or charitable in Detroit, MI. VICTORY DEVELOPMENT PROGRAMS NPI is 1700110798. The provider is registered as an organization entity type.

The provider's business location address is:

17411 E WARREN AVE
DETROIT, MI
ZIP 48224-101
Phone: (313) 686-9172
Fax: (313) 886-3541

The provider's authorized official is Darryl Steven Gaddy .
The authorized official title is Director and has the following contact phone number (313) 686-9172.

The enumeration date for this NPI number is 9/24/2009 and was last updated on 9/24/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		6401010658	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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