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Organization
VICTOR TREATMENT CENTERS, INC.
Active
Organization
VICTOR TREATMENT CENTERS, INC.
Active
Other names
VTC - Green Street
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
3244 E GREEN ST, PASADENA, CA 91107-3836
(626) 795-7218
Mailing address
1360 E LASSEN AVE, CHICO, CA 95973-7823
(530) 893-0758
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
LEGAL ENTITY #
CA
Enumeration date
04/30/2019
Last updated
04/30/2019
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