| NPI | 1780957282 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, WEST SAN BERNARDINO |
| Entity Type | Organization |
| Authorized Contact | ANGIE 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 | 2012-02-14 |
| Last Update Date | 2020-07-15 |