Victory Development Programs

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

6401010658 Issued in MI

Legal business name

VICTORY DEVELOPMENT PROGRAMS

Practice address

17411 E Warren Ave
Detroit, MI 48224-2101

Phone

(313) 686-9172

Fax

(313) 886-3541

NPI assigned

Sep 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Darryl Steven Gaddy Sr.

Title

Director

Phone

(313) 686-9172

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1700110798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17411 E. WARREN",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242101",
            "telephone_number": "313-686-9172",
            "fax_number": "313-886-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17411 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242101",
            "telephone_number": "313-686-9172",
            "fax_number": "313-886-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY DEVELOPMENT PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "GADDY",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-686-9172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MI",
            "license": "6401010658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.