Organization
VICTORY THROUGH FAITH RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM WARDEL LOCKETT SR. (CEO)
(612) 827-0484
Entity
Organization
Contact information
Practice address
3047 5TH AVE S, MINNEAPOLIS, MN 55408-2415
(612) 827-0484
(612) 827-0485
Mailing address
3047 5TH AVE S, MINNEAPOLIS, MN 55408-2415
(612) 827-0484
(612) 827-0485
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1009414
MN
Other
Enumeration date
04/08/2008
Last updated
05/28/2013
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