Organization
VICTORY RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX HALL (CO-OWNER)
(480) 416-4813
Entity
Organization
Contact information
Practice address
1045 E UNIVERSITY DR STE B, MESA, AZ 85203-8000
(480) 416-4813
Mailing address
1045 E UNIVERSITY DR STE B, MESA, AZ 85203-8000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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