| Victory Health Care Services Llc | |
|
1900 E Northern Pkwy Ste 205207 Baltimore MD 21239-2113 | |
| (443) 529-9099 | |
| (410) 617-8478 |
| Full Name | Victory Health Care Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1900 E Northern Pkwy Ste 205207, Baltimore, Maryland |
| Authorized Official Name and Position | Bode Akadri (CEO) |
| Authorized Official Contact | 4432045144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Health Care Services Llc 1900 E Northern Pkwy Ste 205207 Baltimore MD 21239-2113 Ph: (443) 529-9099 | Victory Health Care Services Llc 1900 E Northern Pkwy Ste 205207 Baltimore MD 21239-2113 Ph: (443) 529-9099 |
| NPI Number | 1083252696 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083252696 | NPI | - | NPPES |
| 424033200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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