Organization · Type 2 NPI

Victory Clinical Services III LLC

Multi-Specialty Clinic/Center · Jackson, MI

NPI number 1629101829 Active

Practice location

3300 Lansing Ave
Jackson, MI 49202-1621

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X380098 (MI)
Methadone Clinic 261QM2800XNone listed

Multi-Specialty Clinic/Center: Definition to come...

25 other providers at this address

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About NPI 1629101829

Victory Clinical Services III LLC's National Provider Identifier is 1629101829, issued on Mar 14, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jackson, MI. The record was last updated on Aug 7, 2026.