| NPI | 1619612447 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, FAIRFIELD - WEBSTER ST. |
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Director Of Financial Analysis 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2024-08-28 |