Organization
VICTORY HUMAN SERVICES
Active
Organization
VICTORY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT T SENESIE ED.M (PRESIDENT/CEO)
(617) 474-9699
Entity
Organization
Contact information
Practice address
461 WASHINGTON ST, DORCHESTER CENTER, MA 02124-2039
(617) 474-9699
Mailing address
461 WASHINGTON ST, PO BOX 240934, DORCHESTER CENTER, MA 02124-2039
(617) 474-9699
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
VC6000189457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09041956
—
MA
Enumeration date
07/14/2011
Last updated
07/14/2011
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