Organization · Type 2 NPI
Victory Residential Corporation
Substance Abuse Rehabilitation Facility · San Tan Valley, AZ
NPI number
1396420469
Active
Practice location
1566 E Jeanne Ln
San Tan Valley, AZ 85140-4046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1396420469
Victory Residential Corporation's National Provider Identifier is 1396420469, issued on Jun 16, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jun 19, 2023.