Victory Clinical Services Iv, LLC

NPI #1922249440 in Saginaw, Michigan

Provider Information

NPI Number: 1922249440
Entity Type: Organization
Organization Name: Victory Clinical Services Iv, LLC
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Mar 12, 2009
Last Updated: Mar 12, 2009

Practice Location

Address: 508 SHATTUCK RD
City: Saginaw
State: Michigan
ZIP Code: 48604-2329
Phone: (989) 754-7867

Authorized Official

Name: MR. DAVID BLANKENSHIP
Title: PROGRAM DIRECTOR
Phone: (989) 754-7867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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