Organization
VICTORY RECOVERY HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SMITH (BILLING MANAGER)
(954) 746-8232
Entity
Organization
Contact information
Practice address
508 SW 11TH ST, FORT LAUDERDALE, FL 33315-1234
(954) 746-8232
(954) 746-8231
Mailing address
11500 LAKEVIEW DR, CORAL SPRINGS, FL 33071-7802
(954) 746-8232
(954) 744-8231
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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