Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victory Residential Corporation

Organization Addiction (Substance Use Disorder) Counselor · NPI 1396420469

Victory Residential Corporation is an Addiction (Substance Use Disorder) Counselor in San Tan Valley, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1566 E Jeanne Ln
San Tan Valley, AZ 85140-4046
Phone: (612) 636-3194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1396420469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xavier Davis — Owner / Ceo · (612) 636-3194
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address1566 E Jeanne Ln, San Tan Valley, AZ 85140-4046

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