Provider Demographics
NPI:1730991696
Name:VICTORY MISSION
Entity type:Organization
Organization Name:VICTORY MISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE POSITION
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:831-253-3267
Mailing Address - Street 1:43 SOLEDAD ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2837
Mailing Address - Country:US
Mailing Address - Phone:831-424-5688
Mailing Address - Fax:
Practice Address - Street 1:43 SOLEDAD ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2837
Practice Address - Country:US
Practice Address - Phone:831-242-5688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health