Victor Community Support Services, INC.
Community/Behavioral Health in Palm Desert, CA. Organization (NPI-2).
NPI number1831806751
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1831806751
- Entity type
- Organization (NPI-2)
- Legal business name
- Victor Community Support Services, INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2022
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Victor Community Support Services, Palm Desert (Other Name)
Practice location
44550 Village Ct Ste 103Palm Desert, CA 92260-3817
Phone 951-439-2943
Mailing address
1360 E Lassen AveChico, CA 95973-7823
Phone 530-893-0758 · Fax 530-893-0502
Authorized official
Angie R Wiechert
Director Of Financial Analysis
5302301210
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