Organization
FREE WILL BAPTIST FAMILY MINISTRIES
Active
Other names
Victory Boys' Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KILGORE PH.D. (CHIEF EXECUTIVE OFFICER)
(423) 639-9449
Entity
Organization
Contact information
Practice address
844 VIRGINIA AVE NW, NORTON, VA 24273-1919
(276) 679-7284
(276) 670-0060
Mailing address
844 VIRGINIA AVE NW, NORTON, VA 24273-1919
(276) 679-7284
(276) 670-0060
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SS-139-05
VA
Other
Enumeration date
11/05/2006
Last updated
08/22/2020
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