Victor Treatment Centers, INC.
Community Based Residential Treatment Facility, Mental Illness in Santa Rosa, CA. Organization (NPI-2).
NPI number1881753663
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1881753663
- Entity type
- Organization (NPI-2)
- Legal business name
- Victor Treatment Centers, INC.
- Organization subpart
- No
- Enumeration date
- Dec 7, 2006
- Certification date
- Sep 29, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | CA | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Other names
- Victor Treatment Centers - Santa Rosa (Other Name)
- Victor Treatment - Santa Rosa (Other Name)
Practice location
3164 Condo CtSanta Rosa, CA 95403-2557
Phone 707-576-7218 · Fax 707-576-7243
Mailing address
1360 E Lassen AveChico, CA 95973-7823
Phone 530-893-0758 · Fax 530-230-1280
Authorized official
Angie R Wiechert
Director Of Financial Analysis
5302301210
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