VTC COUNTRY CLUB HOUSE
NPI 1063901049
Residential Treatment Facility, Emotionally Disturbed Children in Santa Rosa, CA

Q: What is Victor Treatment Centers, Inc.'s NPI number?

The NPI number for Victor Treatment Centers, Inc. is 1063901049. It was assigned to this organization in the NPPES registry on May 6, 2018. The provider is also known as Vtc Country Club House.

Q: What is Victor Treatment Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since May 06, 2018

565 PIEZZI RD, SANTA ROSA, CA 95401(707) 579-0785 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2019, May 6, 2018 (2 updates tracked since 2018).

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About Vtc Country Club House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VTC COUNTRY CLUB HOUSE (NPI 1063901049) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Santa Rosa, California and active in the NPI registry since May 2018. The organization lists Angie R Wiechert, Director Of Financial Analysis, as its authorized official.

NPPES Registry Identity

NPI1063901049

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameVICTOR TREATMENT CENTERS, INC.

Location Address565 PIEZZI RDSanta Rosa, CA 95401-5536

Mailing Address1360 E Lassen AveChico, CA 95973-7823 · (530) 893-0758 · Fax (530) 893-0502

Phone(707) 579-0785

Organization SubpartNo

Authorized OfficialAngie R WiechertDirector Of Financial Analysis · (530) 230-1210

Enumeration DateMay 6, 2018

Last NPPES UpdateAugust 2, 20192 updates tracked since enumeration

✔ NPI 1063901049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

565 PIEZZI RD, Santa Rosa, CA 95401

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Other Names 1

Other NameVtc Country Club House

Other Identifiers 1

Other00118CA · Legal Entity #

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Treatment Centers, Inc.'s NPI number?

The NPI number for Victor Treatment Centers, Inc. is 1063901049. It was assigned to this organization in the NPPES registry on May 6, 2018. The provider is also known as Vtc Country Club House.

Where is Victor Treatment Centers, Inc. located?

Victor Treatment Centers, Inc. is located at 565 Piezzi Rd, Santa Rosa, CA 95401. The listed phone number is (707) 579-0785.

What is Victor Treatment Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Victor Treatment Centers, Inc. was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.