Organization
VICTOR TREATMENT CENTERS, INC.
Active
Other names
Victor Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
LENNY RAY VERSER (CFO)
(530) 893-0758
Entity
Organization
Contact information
Practice address
3164 CONDO CT, SANTA ROSA, CA 95403-2557
(707) 576-7218
Mailing address
3164 CONDO CT, SANTA ROSA, CA 95403-2557
(707) 576-7218
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1881753663
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00118
VICTOR TREATMENT CENTERS
CA
Enumeration date
05/22/2013
Last updated
05/22/2013
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