| NPI | 1487218830 |
|---|---|
| Other Name | VTC - GREEN STREET |
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Director Of Financial Analysis 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |