| NPI | 1659057073 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, ROSEVILLE |
| 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 |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-12-07 |