VICTORY HOUSE NPI 1588801294

NPI Information

VICTORY HOUSE is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. VICTORY HOUSE NPI is 1588801294. The provider is registered as an organization entity type.

The provider's business location address is:

804 QUAIL COVE CT
GREENSBORO, NC
ZIP 27406-082
Phone: (336) 292-7688
Fax: (336) 851-6725

The provider's authorized official is Martina E. Ukattah .
The authorized official title is Ceo and has the following contact phone number (336) 294-4966.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/16/2009.

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:

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