# VICTORY MOUNTAIN, INC.

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

## Provider details

- **NPI number:** 1295954741
- **Authorized official:** CHRISTOPHER SKINNER L.P.C. (DIRECTOR)
- **Authorized official phone:** (573) 546-7592

## Contact information

- **Practice address:** HC 69 BOX 1455, IRONTON, MO 63650-9606
- **Practice address phone:** (573) 546-7592
- **Practice address fax:** (573) 546-0125
- **Mailing address:** HC 69 BOX 1455, IRONTON, MO 63650-9606
- **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 | — | MO | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 08/22/2020
