VICTOR TREATMENT CENTERS INC. NPI 1306905195

NPI Information

NPI: 1306905195
Provider Name: VICTOR TREATMENT CENTERS, INC.

Other Name: VICTOR TREATMENT CENTERS SAN BERNARDINO

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1053 N D ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 763-5501
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VICTOR TREATMENT CENTERS, INC. is a community based residential treatment facility mental illness in San Bernardino, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. VICTOR TREATMENT CENTERS, INC. NPI is 1306905195. The provider is registered as an organization entity type.
The provider Other Name Is Victor Treatment Centers San Bernardino.

The provider's business location address is:

1053 N D ST
SAN BERNARDINO, CA
ZIP 92410-521
Phone: (909) 763-5501
Fax: (909) 884-9035

The provider's authorized official is Lenny Ray Verser .
The authorized official title is Cfo and has the following contact phone number (530) 893-0758.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 10/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00118	OTHER	CALIFORNIA	LEGAL ENTITY NUMBER - MH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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