# VICTOR TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Valley School
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174965214
- **Authorized official:** GWEN PASTING (HUMAN RESOURCES)
- **Authorized official phone:** (707) 360-1511

## Contact information

- **Practice address:** 341 IRWIN LN, SANTA ROSA, CA 95401-5603
- **Practice address phone:** (707) 576-7218
- **Mailing address:** 3164 CONDO COURT, SANTA ROSA, CA 95401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 52872 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 07/17/2013