VICTOR COMMUNITY SUPPORT SERVICES INC NPI 1629120498

NPI Information

VICTOR COMMUNITY SUPPORT SERVICES INC is an adolescent and children mental health clinic center in Victorville, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. VICTOR COMMUNITY SUPPORT SERVICES INC NPI is 1629120498. The provider is registered as an organization entity type.
The provider Other Name Is Victor Community Support Services, High Desert.

The provider's business location address is:

15095 AMARGOSA RD STE 201&208
VICTORVILLE, CA
ZIP 92394-879
Phone: (760) 245-4695
Fax: (760) 780-4005

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

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/29/2023.

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:

Other Identifiers

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