Organization · Type 2 NPI
Victory Clinical Services II LLC
Addiction Medicine (Family Medicine) Physician · South Bend, IN
NPI number
1497798284
Active
Practice location
4218 W Western Ave
South Bend, IN 46619-2622
Fax (574) 233-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist | 103TH0100X | 20010221A (IN) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 02001493A (IN) |
| Nurse Practitioner | 363L00000X | 71001833A (IN) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
6 other providers at this address
- David BrinerAddiction (Substance Use Disorder) Counselor South Bend, IN NPI 1518755651
- Erin T. Lacourt, LACAddiction (Substance Use Disorder) Counselor South Bend, IN NPI 1386858629
- Imani Ingram, MPA, ACITAddiction (Substance Use Disorder) Counselor South Bend, IN NPI 1912381575
- John Anthony Krecek, MA, CAADC, MATS, CCJPAddiction (Substance Use Disorder) Counselor South Bend, IN NPI 1811388424
- Joie WroblewskiAddiction (Substance Use Disorder) Counselor South Bend, IN NPI 1679988893
- Kelly FranklinCounselor South Bend, IN NPI 1306472659
About NPI 1497798284
Victory Clinical Services II LLC's National Provider Identifier is 1497798284, issued on Jun 13, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in South Bend, IN. The record was last updated on Mar 22, 2012.