| Victorious Healthcare, Inc. | |
|
6512 Six Forks Rd Ste 200 Raleigh NC 27615-6525 | |
| (919) 846-2111 | |
| (919) 846-7733 |
| Full Name | Victorious Healthcare, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6512 Six Forks Rd Ste 200, Raleigh, North Carolina |
| Authorized Official Name and Position | Bruce Ward (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9195232761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victorious Healthcare, Inc. 4225 Coldwater Springs Dr Raleigh NC 27616-8419 Ph: () - | Victorious Healthcare, Inc. 6512 Six Forks Rd Ste 200 Raleigh NC 27615-6525 Ph: (919) 846-2111 |
| NPI Number | 1447504782 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447504782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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