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VICTOR COMMUNITY SUPPORT SERVICES INC. NPI 1629240270


NPI Information

NPI: 1629240270
Provider Name: VICTOR COMMUNITY SUPPORT SERVICES, INC.

Other Name: VICTOR COMMUNITY SUPPORT SERVICES, PERRIS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
555 N PERRIS BLVD BLDG A
PERRIS, CA
ZIP 92571
Phone: (951) 436-5300
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VICTOR COMMUNITY SUPPORT SERVICES, INC. is a community behavioral health in Perris, 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 1629240270. The provider is registered as an organization entity type.
The provider Other Name Is Victor Community Support Services, Perris.

The provider's business location address is:

555 N PERRIS BLVD BLDG A
PERRIS, CA
ZIP 92571-811
Phone: (951) 436-5300
Fax: (951) 436-5350

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

The enumeration date for this NPI number is 3/24/2008 and was last updated on 8/29/2013.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2251S00000XCommunity/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 #

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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