Organization
VICTORIAN HOMES ADULT CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANCE VICTORIA BOLTON (ADMINISTRATOR)
(602) 892-0633
Entity
Organization
Contact information
Practice address
3110 S RURAL RD STE 104, TEMPE, AZ 85282-3869
(480) 590-5644
Mailing address
1204 E BASELINE RD STE 205, TEMPE, AZ 85283-1453
(602) 892-0633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/27/2023
Last updated
10/29/2025
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