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Victory Residential Corporation
Substance Abuse Rehabilitation Facility in San Tan Valley, Arizona
NPI 1396420469

Victory Residential Corporation is a Substance Abuse Rehabilitation Facility based in San Tan Valley, AZ. Victory Residential Corporation practices in San Tan Valley, AZ. The NPI Number for Victory Residential Corporation is 1396420469 and holds a License No. (Arizona).

The current practice location address for Victory Residential Corporation is 1566 E Jeanne Ln, San Tan Valley, AZ and can be reached out via phone at 612-636-3194.

Location: 1566 E Jeanne Ln, San Tan Valley, AZ, 85140-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396420469
Provider Name
Victory Residential Corporation
Credential
Provider Entity Type
Organization
Address
1566 E Jeanne Ln, San Tan Valley, AZ, 85140-4046
Phone Number
612-636-3194
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1566 E Jeanne Ln
City
San Tan Valley
State
Arizona
Zip
85140-4046
Phone Number
612-636-3194
Fax Number
person
Provider Business Mailing Address Details
Address
1566 E Jeanne Ln
City
San Tan Valley
State
Arizona
Zip
85140-4046
Phone Number
612-636-3194
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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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