Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE R WIECHERT (DIRECTOR OR FINANCIAL ANALYSIS)
(530) 230-1210
Entity
Organization
Contact information
Practice address
265 SAN JACINTO RIVER RD, SUITE 106,107, 201-207, LAKE ELSINORE, CA 92530
(951) 674-9243
(951) 674-9635
Mailing address
1360 E LASSEN AVE, CHICO, CA 95973-7823
(530) 893-0758
(530) 893-0502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042
LEGAL ENTITY #
CA
Enumeration date
01/18/2007
Last updated
01/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up