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Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE R WIECHERT (DIRECTOR OF FINANCIAL ANALYSIS)
(530) 230-1210
Entity
Organization
Contact information
Practice address
1105 E FLORIDA AVE, SUITES 1107, 1109, AND 1111, HEMET, CA 92543-4512
(951) 212-1770
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
Enumeration date
01/19/2018
Last updated
03/04/2024
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