NPI 1679861413

Victory Human Services

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Dorchester Center, MA

Practice location

Address: 461 Washington St, Dorchester Center, MA 02124-2039
Phone: (617) 474-9699
Mailing address: 461 Washington St PO Box 240934, Dorchester Center, MA 02124-2039

Authorised official

Name: Albert T Senesie
Title: President/Ceo
Phone: (617) 474-9699

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence VC6000189457 (MA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Massachusetts →

Registry record

NPI: 1679861413
Entity type: Organization
NPI issued: 14 Jul 2011
Record last updated: 14 Jul 2011

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.