| NPI | 1932251980 |
|---|---|
| Other Name | VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON |
| Entity Type | Organization |
| Authorized Contact | ANGIE R WIECHERT Manager Of Financial Planning 530-230-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-08-29 |