Organization
VICTOR TREATMENT CENTERS, INC.
Active
Other names
Victor Treatment - Santa Rosa, Victor Treatment Centers - Santa Rosa
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
3164 CONDO CT, SANTA ROSA, CA 95403-2557
(707) 576-7218
(707) 576-7243
Mailing address
1360 E LASSEN AVE, CHICO, CA 95973-7823
(530) 893-0758
(530) 230-1280
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
LEGAL ENTITY NUMBER - MH
CA
Enumeration date
12/07/2006
Last updated
09/29/2023
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