Victory Mountain, Inc.
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Ironton, MO
NPI 1295954741 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295954741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- VICTORY MOUNTAIN, INC.
- Practice address
- HC 69 Box 1455
Ironton, MO 63650-9606 - Phone
- (573) 546-7592
- Fax
- (573) 546-0125
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Christopher Skinner, L.P.C.
- Title
- Director
- Phone
- (573) 546-7592
Corporate family (same tax ID) 1
Practitioners 2
-
Angela D Blakeley, P.L.P.C.
-
Christopher Shawn Skinner, MA, LPC
National Provider Directory
- Tax ID family
- Victory Mountain Boys Ranch
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MO | Yes |
Addresses
Primary practice location
HC 69 Box 1455
Ironton, MO 63650-9606
Mailing address
HC 69 Box 1455
Ironton, MO 63650-9606
Phone (573) 546-7592
Other names
- Victory Mountain Boys Ranch
Other providers in Ironton, MO
- Melissa Ann Stetina
- The Baptist Home
- The Baptist Home
- Valley Chiropractic Center, Inc.
- Victory Mountain, Inc.
- Walgreen Co
- Lauretta Walker
All providers in Ironton, MO · Emotionally Disturbed Childrens' Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.