| NPI | 1215579628 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, MANTECA |
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Director Of Financial Analysis 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-12-04 |