VICTORY CLINICAL SERVICES II LLC

Family Medicine - Addiction Medicine

Active Organization
NPI: 1497798284

Practice Address

4218 W WESTERN AVE
South Bend, IN 46619

Phone: (574) 233-1524

Specialties

Specialty Code Primary License
Psychologist - Health Service 103TH0100X No 20010221A (IN)
Nurse Practitioner 363L00000X No 71001833A (IN)
Family Medicine - Addiction Medicine 207QA0401X Yes 02001493A (IN)

Frequently Asked Questions

NPI 1497798284 is the National Provider Identifier for VICTORY CLINICAL SERVICES II LLC, a Family Medicine - Addiction Medicine provider located in South Bend, IN. This NPI was enumerated on June 13, 2006.

Quick Facts

NPI
1497798284
Type
Organization
Enumerated
Jun 13, 2006
Last Updated
Mar 22, 2012

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