Victor Community Support Services, Red Bluff | |
118 Belle Mill Rd Red Bluff CA 96080-2850 | |
(530) 840-2000 | |
(530) 840-2020 |
Full Name | Victor Community Support Services, Red Bluff |
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Speciality | Community/behavioral Health |
Location | 118 Belle Mill Rd, Red Bluff, 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, Red Bluff 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Red Bluff 118 Belle Mill Rd Red Bluff CA 96080-2850 Ph: (530) 840-2000 |
NPI Number | 1720751837 |
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Provider Enumeration Date | 07/26/2021 |
Last Update Date | 03/15/2022 |
Certification Date | 03/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720751837 | NPI | - | NPPES |
01042 | Other | CA | LEGAL ENTITY NUMBER |
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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