NPI 1275850869

Victory Mountain, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Ironton, MO

Practice location

Address: 148 Bowling Ln, Ironton, MO 63650-4148
Phone: (573) 546-7592
Fax: (573) 546-0125

Authorised official

Name: Christopher Shawn Skinner
Title: President
Phone: (573) 546-7592

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 001770712 (MO)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Missouri →

Registry record

NPI: 1275850869
Entity type: Organization
NPI issued: 22 Apr 2010
Record last updated: 22 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.