| Victor Community Support Services, Fairfield | |
|
801 Empire St Fairfield CA 94533-5702 | |
| (707) 425-5744 | |
| (707) 425-5162 |
| Full Name | Victor Community Support Services, Fairfield |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 Empire St, Fairfield, California |
| Authorized Official Name and Position | Angie R Wiechert (DIRECTOR OF FINANCIAL ANALYSIS) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Community Support Services, Fairfield 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Fairfield 801 Empire St Fairfield CA 94533-5702 Ph: (707) 425-5744 |
| NPI Number | 1033867569 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033867569 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY NUMBER |
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