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Organization

VICTOR COMMUNITY SUPPORT SERVICES, INC

Active
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Organization

VICTOR COMMUNITY SUPPORT SERVICES, INC

Active
Other names
Victor Community Support Services, Grass Valley
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING)
(530) 230-1210
Entity
Organization

Contact information

Practice address
900 E MAIN ST, SUITE 201, GRASS VALLEY, CA 95945-5853
(530) 273-2244
(530) 273-5785
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
11/06/2007
Last updated
08/29/2013
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