| Vbs - Victory Behavioral Solutions | |
|
8831 Satyr Hill Rd Ste 107 Baltimore MD 21234-2437 | |
| (443) 838-1700 | |
| Not Available |
| Full Name | Vbs - Victory Behavioral Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 8831 Satyr Hill Rd Ste 107, Baltimore, Maryland |
| Authorized Official Name and Position | Marcella Jackson (CEO) |
| Authorized Official Contact | 4433880211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vbs - Victory Behavioral Solutions 8831 Satyr Hill Rd Ste 107 Baltimore MD 21234-2437 Ph: (443) 450-9478 | Vbs - Victory Behavioral Solutions 8831 Satyr Hill Rd Ste 107 Baltimore MD 21234-2437 Ph: (443) 838-1700 |
| NPI Number | 1336859784 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 4880064625 |
|---|---|
| Medicare Enrollment ID | O20230112000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336859784 | NPI | - | NPPES |
| 1336859784 | Medicaid | MD |
| Provider Name | Marcella V. Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922716711 PECOS PAC ID: 9830567700 Enrollment ID: I20221128000006 |
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