institution
Victory Clinical Services Lansing
Methadone Clinic in Lansing, Michigan
NPI 1861627507

Victory Clinical Services Lansing is a Methadone Clinic based in Lansing, MI and is specialized in Methadone. Victory Clinical Services Lansing practices in Lansing, MI. The NPI Number for Victory Clinical Services Lansing is 1861627507 and holds a License No. 330330 (Michigan).

The current practice location address for Victory Clinical Services Lansing is 4902 S Cedar St, Lansing, MI and can be reached out via phone at 517-394-7867 and via fax at 517-394-7869.

Location: 4902 S Cedar St, Lansing, MI, 48910-5474
institution
Provider Profile Details
NPI Number
1861627507
Provider Name
Victory Clinical Services Lansing
Credential
Provider Entity Type
Organization
Address
4902 S Cedar St, Lansing, MI, 48910-5474
Phone Number
517-394-7867
Fax Number
517-394-7869
Provider Enumeration Date
05/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MI 10046M 01 MI OTP - SAMHSA #
institution
Provider Business Practice Location Address Details
Address
4902 S Cedar St
City
State
Zip
48910-5474
Phone Number
517-394-7867
Fax Number
517-394-7869
person
Provider Business Mailing Address Details
Address
4902 S Cedar St
City
State
Zip
48910-5474
Phone Number
517-394-7867
Fax Number
517-394-7869
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
330330 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
330330 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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