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Organization

VICTORY THROUGH FAITH RECOVERY SERVIES

Active
Parent organization
VICTORY THROUGH FAITH RECOVERY SERVICES
Other names
The Micah House
Organization subpart
Yes

Provider details

NPI number
Legal business name
VICTORY THROUGH FAITH RECOVERY SERVICES
Authorized official
WILLIAM LOCKETT (CEO)
(612) 314-2460
Entity
Organization

Contact information

Practice address
1523 NICOLLET AVE, MINNEAPOLIS, MN 55403-2723
(612) 314-2460
(612) 871-4290
Mailing address
1523 NICOLLET AVE, MINNEAPOLIS, MN 55403-2723
(612) 314-2460
(612) 871-4290

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1069387
MN

Other

Enumeration date
09/25/2015
Last updated
09/25/2015
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