| Victor Community Support Services, Marysville | |
|
103 D St Marysville CA 95901-6017 | |
| (530) 671-3427 | |
| Not Available |
| Full Name | Victor Community Support Services, Marysville |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 103 D St, Marysville, California |
| Authorized Official Name and Position | Angie R Wiechert (MANAGER OF FINANCIAL PLANNING) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Community Support Services, Marysville 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Marysville 103 D St Marysville CA 95901-6017 Ph: (530) 671-3427 |
| NPI Number | 1063565729 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063565729 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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