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Organization
SACRED VILLAGE CENTER
Active
Organization
SACRED VILLAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENISHA L KUNZI (OWNER)
(775) 316-1971
Entity
Organization
Contact information
Practice address
11727 CHARWOOD RD, VICTORVILLE, CA 92392-0415
(775) 316-1971
Mailing address
11727 CHARWOOD RD, VICTORVILLE, CA 92392-0415
(775) 316-1971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
09/01/2025
Last updated
09/03/2025
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