# VICTORY HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** victory healthcare services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841021573
- **Authorized official:** BODE AKADRI (CEO)
- **Authorized official phone:** (443) 529-9099

## Contact information

- **Practice address:** 1900 E .NORTHERN PARK WAY SUITE205-207, BALTIMORE, MD 21239-3777
- **Practice address phone:** (443) 529-9099
- **Mailing address:** 1900 E .NORTHERN PARK WAY SUITE205-207, 207, BALTIMORE, MD 21239-3777
- **Mailing address phone:** (443) 529-9099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/13/2024
- **Last updated:** 08/13/2024