Organization
VICTORY THROUGH FAITH RECOVERY SERVICES
Active
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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