Organization
VICTORY BEHAVIORAL HEALTHCARE PLLC
Active
Other names
Victory Behavioral Health Residential Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EZINNE IROKU (CEO)
(602) 877-8107
Entity
Organization
Contact information
Practice address
8017 W ALBENIZ PL, PHOENIX, AZ 85043-1698
(602) 877-8107
Mailing address
8017 W ALBENIZ PL, PHOENIX, AZ 85043-1698
(602) 877-8107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/22/2021
Last updated
01/12/2023
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