| Victor Community Support Services, West Sacramento | |
|
3050 Beacon Blvd Suites 100, 102, 103 & 111 West Sacramento CA 95691-3467 | |
| (209) 327-8864 | |
| Not Available |
| Full Name | Victor Community Support Services, West Sacramento |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3050 Beacon Blvd, West Sacramento, 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, West Sacramento 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, West Sacramento 3050 Beacon Blvd Suites 100, 102, 103 & 111 West Sacramento CA 95691-3467 Ph: (209) 327-8864 |
| NPI Number | 1417264185 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417264185 | 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 |
Yolo County Health And Human Services Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd # B, Suite 150, West Sacramento, CA 95605 Phone: 916-375-6350 Fax: 916-375-6355 | |
Communicare Health Centers Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson Blvd Ste 150, West Sacramento, CA 95605 Phone: 530-753-3498 Fax: 530-758-2109 | |
Dr. Paul Copeland Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3451 Burrows Avenue, West Sacramento, CA 95691 Phone: 916-376-8416 Fax: 916-376-0759 | |
Del Rey Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3974 Prosser St, United States, Commonweal, West Sacramento, CA 95691 Phone: 916-596-5139 | |
Mandisa Pittmon Lmft Marriage And Family Therapist Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3960 Industrial Blvd Ste 200, West Sacramento, CA 95691 Phone: 916-584-9395 Fax: 310-602-6721 | |
Communicare Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Sacramento Ave, West Sacramento, CA 95605 Phone: 916-371-1966 Fax: 916-371-2067 |