# VICTORY HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VICTORY HEALTH CARE SERVICES LLC
- **Other names:** victory healthcare services LLC, victory health care services llc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205485588
- **Legal business name:** VICTORY HEALTH CARE SERVICES LLC
- **Authorized official:** MR. BODE AKADRI MPP (DIRECTOR)
- **Authorized official phone:** (443) 529-9099

## Contact information

- **Practice address:** 1900 E NORTHERN PKWY STE 205207, BALTIMORE, MD 21239-2113
- **Practice address phone:** (443) 204-5144
- **Practice address fax:** (410) 617-8478
- **Mailing address:** 1900 E .NORTHERN PARK WAY SUITE205-207, BALTIMORE, MD 21239-4225
- **Mailing address phone:** (443) 529-9099
- **Mailing address fax:** (410) 617-8478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2019
- **Last updated:** 12/10/2024