Provider Demographics
NPI:1750116711
Name:VICTORY AND VALOR SOLUTIONS
Entity type:Organization
Organization Name:VICTORY AND VALOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHADIJAH
Authorized Official - Middle Name:ZORANA
Authorized Official - Last Name:ABLE
Authorized Official - Suffix:
Authorized Official - Credentials:ADT
Authorized Official - Phone:301-825-2053
Mailing Address - Street 1:4416 FOREST VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1915
Mailing Address - Country:US
Mailing Address - Phone:301-825-2053
Mailing Address - Fax:
Practice Address - Street 1:3195 OLD WASHINGTON RD STE 112
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3201
Practice Address - Country:US
Practice Address - Phone:301-825-2053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health