| Victor Community Support Services, Inc. | |
|
1105 E Florida Ave Suites 1107, 1109, And 1111 Hemet CA 92543-4512 | |
| (951) 212-1770 | |
| Not Available |
| Full Name | Victor Community Support Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1105 E Florida Ave, Hemet, 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, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Inc. 1105 E Florida Ave Suites 1107, 1109, And 1111 Hemet CA 92543-4512 Ph: (951) 212-1770 |
| NPI Number | 1366950784 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366950784 | 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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