Victor Community Support Services, Stockton

LBN: Victor Community Support Services, Inc
Victor Community Support Services, Stockton is an health care organization with primary practice located at 2495 W March Ln Suite 125 (Miocr Program), Stockton CA 95207-8251. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Victor Community Support Services, Inc can be contacted via phone (209) 465-1080, or through Wiechert, Angie via phone (530) 230-1210.

Contact Information

Primary practice address
2495 W March Ln Suite 125 (Miocr Program) Stockton CA 95207-8251
Phone: (209) 465-1080
Fax: (209) 465-2709
Website:
Map and Directions
Authorized official contact:
Name: Wiechert, Angie
Phone: (530) 230-1210

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1184814477
LBN Legal business name Victor Community Support Services, Inc
DBA Doing business as Victor Community Support Services, Stockton
Authorized official Wiechert, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Dec 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184814477 NPPES
California Other 01042 LEGAL ENTITY #

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