Victor Community Support Services, Inc. | |
650 Kentucky St Ste 1 Gridley CA 95948-2118 | |
(530) 267-1768 | |
Not Available |
Full Name | Victor Community Support Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 650 Kentucky St Ste 1, Gridley, 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 |
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Victor Community Support Services, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Inc. 650 Kentucky St Ste 1 Gridley CA 95948-2118 Ph: (530) 267-1768 |
NPI Number | 1902534266 |
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Provider Enumeration Date | 08/12/2022 |
Last Update Date | 08/12/2022 |
Certification Date | 08/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902534266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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