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VICTOR VALLEY COUNSELING CENTER MENTAL HEALTH COURT NPI 1912235573


NPI Information

NPI: 1912235573
Provider Name: VICTOR VALLEY COUNSELING CENTER, MENTAL HEALTH COURT
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
12625 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (909) 382-3080
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VICTOR VALLEY COUNSELING CENTER, MENTAL HEALTH COURT is an adult 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 adults. VICTOR VALLEY COUNSELING CENTER, MENTAL HEALTH COURT NPI is 1912235573. The provider is registered as an organization entity type.

The provider's business location address is:

12625 HESPERIA RD
VICTORVILLE, CA
ZIP 92395-720
Phone: (909) 382-3080
Fax: (909) 382-3105

The provider's authorized official is Erica Porteous .
The authorized official title is Chief Compliance Officer and has the following contact phone number (909) 388-0882.

The enumeration date for this NPI number is 11/19/2009 and was last updated on 6/18/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

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

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