VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON - NPI 1932251980

Q: What is Victor Community Support Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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About Victor Community Support Services, Stockton NPPES

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

VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON (NPI 1932251980) is a healthcare organization registered as an adolescent and children mental health in Stockton, California and active in the NPI registry since January 2007. The organization lists Angie R Wiechert, Manager Of Financial Planning, as its authorized official.

NPPES Registry Identity

NPI1932251980

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameVICTOR COMMUNITY SUPPORT SERVICES, INC.

Location Address2495 W MARCH LN, SUITE 125Stockton, CA 95207-8251

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

Phone(209) 465-1080

Organization SubpartNo

Authorized OfficialAngie R WiechertManager Of Financial Planning · (530) 230-1210

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 29, 2013

✔ NPI 1932251980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

2495 W MARCH LN, Stockton, CA 95207

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Other Names 1

Other NameVictor Community Support Services, Stockton

Other Identifiers 1

Other01042CA · Legal Entity #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARIA RODRIGUEZ MASTERS

Counselor (Mental Health)

2495 W MARCH LN, SUITE 125
STOCKTON, CA 95207

San Joaquin County (209) 465-1080

KRYSTAL MADELINE AVILA

Social Worker (Clinical)