Victory Residential Corporation - Mental Health Clinic in San Tan Valley, AZ

Victory Residential Corporation is a mental health clinic (Substance Abuse Rehabilitation Facility) in San Tan Valley, Arizona. The current practice location for Victory Residential Corporation is 1566 E Jeanne Ln, San Tan Valley, Arizona. For appointments, you can reach them via phone at (612) 636-3194. The mailing address for Victory Residential Corporation is 1566 E Jeanne Ln, San Tan Valley, Arizona and phone number is (612) 636-3194.

Victory Residential Corporation is licensed to practice in * (Not Available) (license number ) and its NPI number is 1396420469. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (612) 636-3194.

Contact Information

Victory Residential Corporation
1566 E Jeanne Ln
San Tan Valley
AZ 85140-4046
(612) 636-3194
Not Available

Mental Health Clinic Profile

Full NameVictory Residential Corporation
SpecialitySubstance Abuse Rehabilitation Facility
Location1566 E Jeanne Ln, San Tan Valley, Arizona
Authorized Official Name and PositionXavier Alexander Davis (OWNER / CEO)
Authorized Official Contact6126363194
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Victory Residential Corporation
1566 E Jeanne Ln
San Tan Valley
AZ 85140-4046

Ph: (612) 636-3194
Victory Residential Corporation
1566 E Jeanne Ln
San Tan Valley
AZ 85140-4046

Ph: (612) 636-3194

NPI Details:

NPI Number1396420469
Provider Enumeration Date06/16/2023
Last Update Date06/19/2023
Certification Date06/19/2023

Medical Identifiers

Medical identifiers for Victory Residential Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396420469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Primary

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› Verified 8 days ago

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