Organization
VICTORY BEHAVIORAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA JACKSON LMSW (CEO)
(443) 388-0211
Entity
Organization
Contact information
Practice address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 838-1700
Mailing address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 838-1700
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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