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Organization
VICTORY BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
VICTORY BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Victory Behavioral Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA UGUWIBE-OGUNSEYE (MANAGER)
(770) 895-0573
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(770) 895-0573
Mailing address
4350 HUNTCLIFF TRCE, DOUGLASVILLE, GA 30135-8428
(770) 895-0573
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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