# FREE WILL BAPTIST FAMILY MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victory Boys' Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871672295
- **Authorized official:** DR. JAMES KILGORE PH.D. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (423) 639-9449

## Contact information

- **Practice address:** 844 VIRGINIA AVE NW, NORTON, VA 24273-1919
- **Practice address phone:** (276) 679-7284
- **Practice address fax:** (276) 670-0060
- **Mailing address:** 844 VIRGINIA AVE NW, NORTON, VA 24273-1919
- **Mailing address phone:** (276) 679-7284
- **Mailing address fax:** (276) 670-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SS-139-05 | VA | Yes |

## Other

- **Enumeration date:** 11/05/2006
- **Last updated:** 08/22/2020
