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Organization

VICTORY BEHAVIORAL SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCELLA JACKSON LMSW (CEO)
(443) 388-0211
Entity
Organization

Contact information

Practice address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 838-1700
Mailing address
8831 SATYR HILL RD STE 107, BALTIMORE, MD 21234-2437
(443) 838-1700

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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