| NPI | 1669703427 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, LAKE ELSINORE |
| 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 | 2010-01-19 |
| Last Update Date | 2021-01-29 |