| Victor Community Support Services, Inc. | |
|
1360 E Lassen Ave Chico CA 95973-7823 | |
| (530) 893-0758 | |
| (530) 893-0502 |
| Full Name | Victor Community Support Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1360 E Lassen Ave, Chico, California |
| Authorized Official Name and Position | Angie R Wiechert (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Community Support Services, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 |
| NPI Number | 1972689370 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972689370 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 261QM0855X (California) | Primary |
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