VICTORY HEALTH HOME PLLC
NPI 1609633080
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ
- Organization
- Community Based Residential Treatment Fa...
About VICTORY HEALTH HOME PLLC
This page provides the complete NPI Profile along with additional information for Victory Health Home Pllc, a provider established in Phoenix, Arizona operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1609633080 assigned on March 2024. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Ibukun Odutola Dnp (Ceo)
- NPI
- 1609633080 Verify this NPI
- Provider Name
- VICTORY HEALTH HOME PLLC
- Entity Type
- Organization
- Location Address
- 9132 W HUBBELL ST PHOENIX, AZ 85037
- Location Phone
- (407) 738-5791
- Location Fax
- (480) 210-3563
- Mailing Address
- 9132 W HUBBELL ST PHOENIX, AZ 85037
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2024
- Last Update Date
- 01-15-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
PHOENIX, AZ 85037
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609633080, enumerated as an "organization" on March 04, 2024.
The provider is located at 9132 W HUBBELL ST PHOENIX, AZ 85037 and the phone number is (407) 738-5791.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
