Victory Residential Corporation
NPI #1396420469 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1396420469
- Entity Type
- Organization
- Organization Name
- Victory Residential Corporation
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 16, 2023
- Last Updated
- Jun 19, 2023
Practice Location
- Address
- 1566 E JEANNE LN
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-4046
- Phone
- (612) 636-3194
Authorized Official
- Name
- MR. XAVIER ALEXANDER DAVIS
- Title
- OWNER / CEO
- Phone
- (612) 636-3194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Substance Abuse Rehabilitation Facility |
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