Organization
VICTOR TREATMENT CENTERS, INC.
Active
Other names
VTC Cottage
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE R WIECHERT (CONTROLLER)
(530) 230-1210
Entity
Organization
Contact information
Practice address
3244 E GREEN ST, PASADENA, CA 91107-3836
(626) 844-3033
(626) 844-3034
Mailing address
1360 E LASSEN AVE, CHICO, CA 95973-7823
(530) 893-0758
(530) 893-0502
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
LEGAL ENTITY NUMBER - MH
CA
Enumeration date
05/06/2018
Last updated
05/06/2018
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