Victory Mountain, Inc.

NPI #1275850869 in Ironton, Missouri

Provider Information

NPI Number: 1275850869
Entity Type: Organization
Organization Name: Victory Mountain, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Apr 22, 2010
Last Updated: Apr 22, 2010

Practice Location

Address: 148 BOWLING LN
City: Ironton
State: Missouri
ZIP Code: 63650-4148
Phone: (573) 546-7592

Authorized Official

Name: MR. CHRISTOPHER SHAWN SKINNER, M.A., L.P.C.
Title: PRESIDENT
Phone: (573) 546-7592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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