VTC LANE HOUSE
NPI 1891284725
Residential Treatment Facility, Emotionally Disturbed Children in Santa Rosa, CA

Active since May 07, 2018
620 IRWIN LN, SANTA ROSA, CA 95401(707) 527-5329 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vtc Lane House NPPES

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

VTC LANE HOUSE (NPI 1891284725) 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, Controller, as its authorized official.

NPPES Registry Identity

NPI1891284725
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameVICTOR TREATMENT CENTERS, INC.
Location Address620 IRWIN LNSanta Rosa, CA 95401-5607
Mailing Address1360 E Lassen AveChico, CA 95973-7823 · (530) 893-0758 · Fax (530) 893-0502
Organization SubpartNo
Authorized OfficialAngie R WiechertController · (530) 230-1210
Enumeration DateMay 7, 2018
NPI 1891284725 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.

620 IRWIN LN, Santa Rosa, CA 95401

Other Names 1

Other NameVtc Lane House

Other Identifiers 1

Other00118CA · Legal Entity Number

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891284725, enumerated as an "organization" on May 07, 2018.

The provider is located at 620 IRWIN LN SANTA ROSA, CA 95401 and the phone number is (707) 527-5329.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.