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Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Organization
VICTOR COMMUNITY SUPPORT SERVICES, INC.
Active
Other names
Victor Community Support Services, Stockton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE R WIECHERT (MANAGER OF FINANCIAL PLANNING)
(530) 230-1210
Entity
Organization
Contact information
Practice address
2495 W MARCH LN, SUITE 125, STOCKTON, CA 95207-8251
(209) 465-1080
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
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042
LEGAL ENTITY #
CA
Enumeration date
01/18/2007
Last updated
08/29/2013
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