| Victor Treatment Centers, Inc. | |
|
3244 E Green St Pasadena CA 91107-3836 | |
| (626) 795-7218 | |
| Not Available |
| Full Name | Victor Treatment Centers, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3244 E Green St, Pasadena, 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 Treatment Centers, Inc. 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Treatment Centers, Inc. 3244 E Green St Pasadena CA 91107-3836 Ph: (626) 795-7218 |
| NPI Number | 1487218830 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 04/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487218830 | NPI | - | NPPES |
| 00118 | Other | CA | LEGAL ENTITY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Secondary |
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