| Victor Community Support Services, West San Bernardino | |
|
600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 | |
| (909) 522-4656 | |
| (909) 763-5525 |
| Full Name | Victor Community Support Services, West San Bernardino |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 N Arrowhead Ave Ste 300, San Bernardino, California |
| Authorized Official Name and Position | Angie 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 San Bernardino 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, West San Bernardino 600 N Arrowhead Ave Ste 300 San Bernardino CA 92401-1148 Ph: (909) 522-4656 |
| NPI Number | 1780957282 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780957282 | 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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