# VICTOR COMMUNITY SUPPORT SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victor Community Support Services, Grass Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316127434
- **Authorized official:** ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING)
- **Authorized official phone:** (530) 230-1210

## Contact information

- **Practice address:** 900 E MAIN ST, SUITE 201, GRASS VALLEY, CA 95945-5853
- **Practice address phone:** (530) 273-2244
- **Practice address fax:** (530) 273-5785
- **Mailing address:** 1360 E LASSEN AVE, CHICO, CA 95973-7823
- **Mailing address phone:** (530) 893-0758
- **Mailing address fax:** (530) 893-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 08/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01042 | LEGAL ENTITY \# | CA |