Organization
VICTORY HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY SANCHEZ (PROGRAM & OPERATIONS ANALYST)
(414) 858-4141
Entity
Organization
Contact information
Practice address
481 S CONCORD AVE, WATERTOWN, WI 53094-7307
(414) 841-2972
Mailing address
217 WISCONSIN AVE STE 201, WAUKESHA, WI 53186-4946
(414) 841-2972
(414) 375-6099
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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