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Organization

VICTORIOUS HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE WARD (EXECUTIVE DIRECTOR)
(919) 523-2761
Entity
Organization

Contact information

Practice address
6512 SIX FORKS RD STE 200, RALEIGH, NC 27615-6525
(919) 846-2111
(919) 846-7733
Mailing address
4225 COLDWATER SPRINGS DR, RALEIGH, NC 27616-8419

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
11/08/2012
Last updated
11/08/2012
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