| NPI | 1184814477 |
|---|---|
| Doing Business As | VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON |
| Entity Type | Organization |
| Authorized Contact | ANGIE WIECHERT Financial Analyst 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2012-12-20 |