Victor Community Support Services, High Desert
LBN: Victor Community Support Services Inc
Victor Community Support Services, High Desert is an health care organization with primary practice located at 15095 Amargosa Rd Ste 201&208 , Victorville CA 92394-1879. 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 (760) 245-4695, or through Wiechert, Angie R via phone (530) 230-1210.
Contact Information
Primary practice address
15095 Amargosa Rd Ste 201&208
Victorville CA 92394-1879
Phone: (760) 245-4695
Fax: (760) 780-4005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | California | |
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
NPI number | 1629120498 |
---|---|
LBN Legal business name | Victor Community Support Services Inc |
DBA Doing business as | Victor Community Support Services, High Desert |
Authorized official | Wiechert, Angie R |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Jan 29th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629120498 | NPPES |
California | Other | 01042 | LEGAL ENTITY # |
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