Organization
VICTORY BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
Victory Behavioral Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA UGUWIBE-OGUNSEYE (MANAGER)
(770) 895-0573
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(770) 895-0573
Mailing address
4350 HUNTCLIFF TRCE, DOUGLASVILLE, GA 30135-8428
(770) 895-0573
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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