Victorious Mental Healthcare LLC
Community/Behavioral Health in Baltimore, MD. Organization (NPI-2).
NPI number1265062467
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1265062467
- Entity type
- Organization (NPI-2)
- Legal business name
- Victorious Mental Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5006 Belair RdBaltimore, MD 21206-5101
Phone 410-488-5171 · Fax 410-488-5173
Mailing address
5006 Belair RdBaltimore, MD 21206-5101
Phone 410-488-5171 · Fax 410-488-5173
Authorized official
Bosede Oluwatoyin Adetunji - Idowu
Chief Executive Officer
4435400338
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