Organization
VICTORIOUS MENTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSEDE OLUWATOYIN ADETUNJI - IDOWU (CHIEF EXECUTIVE OFFICER)
(443) 540-0338
Entity
Organization
Contact information
Practice address
5006 BELAIR RD, BALTIMORE, MD 21206-5101
(410) 488-5171
(410) 488-5173
Mailing address
5006 BELAIR RD, BALTIMORE, MD 21206-5101
(410) 488-5171
(410) 488-5173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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