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Organization
VICTOR TREATMENT CENTER
Active
Organization
VICTOR TREATMENT CENTER
Active
Other names
North Valley School
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN PASTING (HUMAN RESOURCES)
(707) 360-1511
Entity
Organization
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 576-7218
Mailing address
3164 CONDO COURT, SANTA ROSA, CA 95401
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
52872
CA
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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