Vtc Country Club House

LBN: Victor Treatment Centers, Inc.
Vtc Country Club House is an health care organization with primary practice located at 565 Piezzi Rd , Santa Rosa CA 95401-5536. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Victor Treatment Centers, Inc. can be contacted via phone (707) 579-0785, or through Wiechert, Angie R via phone (530) 230-1210.

Contact Information

Primary practice address
565 Piezzi Rd Santa Rosa CA 95401-5536
Phone: (707) 579-0785
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiechert, Angie R
Phone: (530) 230-1210

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1063901049
LBN Legal business name Victor Treatment Centers, Inc.
DBA Doing business as Vtc Country Club House
Authorized official Wiechert, Angie R
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2018
Last updated Aug 2nd, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063901049 NPPES
California Other 00118 LEGAL ENTITY #

Popular Providers