institution
Victory Group Home Llc
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1639843279

Victory Group Home Llc is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Victory Group Home Llc practices in Phoenix, AZ. The NPI Number for Victory Group Home Llc is 1639843279 and holds a License No. (Arizona).

The current practice location address for Victory Group Home Llc is 9127 W Minnezona Ave, Phoenix, AZ and can be reached out via phone at 469-648-8397.

Location: 9127 W Minnezona Ave, Phoenix, AZ, 85037-2446
institution
Provider Profile Details
NPI Number
1639843279
Provider Name
Victory Group Home Llc
Credential
Provider Entity Type
Organization
Address
9127 W Minnezona Ave, Phoenix, AZ, 85037-2446
Phone Number
469-648-8397
Fax Number
Provider Enumeration Date
08/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6785 01 AZ BH LICENSE
institution
Provider Business Practice Location Address Details
Address
9127 W Minnezona Ave
City
State
Zip
85037-2446
Phone Number
469-648-8397
Fax Number
person
Provider Business Mailing Address Details
Address
9127 W Minnezona Ave
City
State
Zip
85037-2446
Phone Number
469-648-8397
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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