Organization
VICTORY CLINICAL SERVICES BATTLE CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH BLANKENSHIP (FINANCIAL DIRECTOR)
(269) 344-4458
Entity
Organization
Contact information
Practice address
842 COLUMBIA AVE E, BATTLE CREEK, MI 49014-5449
(269) 753-1710
(269) 753-1717
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
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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