Victor Community Support Services, Inc | |
555 N Perris Blvd Perris CA 92571-2811 | |
(951) 436-5300 | |
(951) 436-5350 |
Full Name | Victor Community Support Services, Inc |
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Speciality | Community/behavioral Health |
Location | 555 N Perris Blvd, Perris, 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 555 N Perris Blvd Perris CA 92571-2811 Ph: (951) 436-5300 |
NPI Number | 1487490397 |
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Provider Enumeration Date | 07/02/2024 |
Last Update Date | 07/02/2024 |
Certification Date | 07/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487490397 | NPI | - | NPPES |
01042 | Other | CA | LEGAL ENTITY # |
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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