Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTORY CLINICAL SERVICES II LLC
Active OrganizationVICTORY CLINICAL SERVICES II LLC is a Addiction Medicine (Family Practice) organization located in SOUTH BEND, Indiana. NPI 1497798284 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SOUTH BEND, IN
Registration Details
- NPI Number
- 1497798284
- Provider Type
- Organization
- NPI Issued
- Jun 13, 2006 (20.204126831046 yrs)
- Last Updated
- Mar 22, 2012
- Licenses
-
20010221A (IN)71001833A (IN)02001493A (IN)
Practice Information
- Address
-
4218 W WESTERN AVESOUTH BEND, IN, 466192622Browse IN providers · Browse ZIP 46619
- Phone
- 5742331524
- Fax
- 5742331612
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Addiction Medicine (Family Practice)
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.