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Organization
FREE WILL BAPTIST FAMILY MINISTRIES
Active
Organization
FREE WILL BAPTIST FAMILY MINISTRIES
Active
Other names
Victory Boys' Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KILGORE PH.D. (CHIEF EXECUTIVE OFFICER)
(423) 639-9449
Entity
Organization
Contact information
Practice address
844 VIRGINIA AVE NW, NORTON, VA 24273-1919
(276) 679-7284
(276) 670-0060
Mailing address
844 VIRGINIA AVE NW, NORTON, VA 24273-1919
(276) 679-7284
(276) 670-0060
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-139-05
VA
Other
Enumeration date
11/05/2006
Last updated
08/22/2020
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