# VICTORY MOUNTAIN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victory Mountain Boys Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275850869
- **Authorized official:** MR. CHRISTOPHER SHAWN SKINNER M.A., L.P.C. (PRESIDENT)
- **Authorized official phone:** (573) 546-7592

## Contact information

- **Practice address:** 148 BOWLING LN, IRONTON, MO 63650-4148
- **Practice address phone:** (573) 546-7592
- **Practice address fax:** (573) 546-0125
- **Mailing address:** 148 BOWLING LN, IRONTON, MO 63650-4148
- **Mailing address phone:** (573) 546-7592
- **Mailing address fax:** (573) 546-0125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 001770712 | MO | Yes |

## Other

- **Enumeration date:** 04/22/2010
- **Last updated:** 04/22/2010