Provider Demographics
NPI:1730799073
Name:VICTORY WON COUNSELING AND RES CARE PROF. CORP
Entity type:Organization
Organization Name:VICTORY WON COUNSELING AND RES CARE PROF. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/OWWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:CUFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:THERAPIST
Authorized Official - Phone:404-820-0272
Mailing Address - Street 1:760 SKIPPER DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5922
Mailing Address - Country:US
Mailing Address - Phone:404-839-9173
Mailing Address - Fax:
Practice Address - Street 1:5014 SNAPFINGER WOODS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4003
Practice Address - Country:US
Practice Address - Phone:404-820-0272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-02
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities