| Victor Community Support Services, Roseville | |
|
1520 Eureka Rd Ste 102 Roseville CA 95661-2849 | |
| (530) 648-6908 | |
| Not Available |
| Full Name | Victor Community Support Services, Roseville |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1520 Eureka Rd Ste 102, Roseville, 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, Roseville 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Roseville 1520 Eureka Rd Ste 102 Roseville CA 95661-2849 Ph: (530) 648-6908 |
| NPI Number | 1659057073 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659057073 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY NUMBER |
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