| Victory Clinical Services | |
|
3300 Lansing Ave Jackson MI 49202-1621 | |
| (517) 784-2929 | |
| Not Available |
| Full Name | Victory Clinical Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3300 Lansing Ave, Jackson, Michigan |
| Authorized Official Name and Position | Melissa Ann Ehart (CLINICAL SUPERVISIOR) |
| Authorized Official Contact | 5177842929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Clinical Services 3300 Lansing Ave Jackson MI 49202-1621 Ph: (517) 784-2929 | Victory Clinical Services 3300 Lansing Ave Jackson MI 49202-1621 Ph: (517) 784-2929 |
| NPI Number | 1548615818 |
|---|---|
| Provider Enumeration Date | 04/25/2016 |
| Last Update Date | 04/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548615818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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