Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTA LLC
Active OrganizationVICTA LLC is a Addiction Medicine (Internal Medicine) organization located in PROVIDENCE, Rhode Island. NPI 1104317007 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · PROVIDENCE, RI
Registration Details
- NPI Number
- 1104317007
- Provider Type
- Organization
- NPI Issued
- May 25, 2018 (8.2213854272359 yrs)
- Last Updated
- Dec 10, 2025
- Licenses
-
648.01 (RI)648.01 (RI)
Practice Information
- Address
-
110 ELMWOOD AVE # APROVIDENCE, RI, 02907Browse RI providers · Browse ZIP 02907
- Phone
- 4018680654
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Mental Health Clinic
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
- Additional Specialty
- Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction Medicine (Internal Medicine) Organizations in PROVIDENCE, RI
| Name | NPI |
|---|---|
| ROGER WILLIAMS MEDICAL CENTER | 1457395998 |
| PROSPECT CHARTERCARE RWMC, LLC | 1760977136 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.