Organization
VICTORY CLINICAL SERVICES LLC
Active
Organization
VICTORY CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLANKENSHIP (EXECUTIVE DIRECTOR)
(269) 344-4458
Entity
Organization
Contact information
Practice address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(269) 344-4458
Mailing address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(269) 344-4458
(269) 344-4459
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
390114
MI
261QM2800X
Methadone Clinic
390114
MI
Other
Enumeration date
03/14/2007
Last updated
08/07/2026
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