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VICTOR COMMUNITY SUPPORT SERVICES INC. NPI 1619612447


NPI Information

NPI: 1619612447
Provider Name: VICTOR COMMUNITY SUPPORT SERVICES, INC.

Other Name: VICTOR COMMUNITY SUPPORT SERVICES, FAIRFIELD - WEBSTER ST.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
733 WEBSTER ST
FAIRFIELD, CA
ZIP 94533
Phone: (707) 425-5744
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VICTOR COMMUNITY SUPPORT SERVICES, INC. is a community behavioral health in Fairfield, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VICTOR COMMUNITY SUPPORT SERVICES, INC. NPI is 1619612447. The provider is registered as an organization entity type.
The provider Other Name Is Victor Community Support Services, Fairfield - Webster St..

The provider's business location address is:

733 WEBSTER ST
FAIRFIELD, CA
ZIP 94533-520
Phone: (707) 425-5744

The provider's authorized official is Angie R Wiechert .
The authorized official title is Director Of Financial Analysis and has the following contact phone number (530) 230-1210.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 6/23/2022.


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
1252Y00000XEarly Intervention Provider AgencyNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3251S00000XCommunity/Behavioral HealthYes

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
101042OTHERCALIFORNIALEGAL ENTITY NUMBER

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: 5/5/2024

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