NPI: 1932251980
Provider Name: VICTOR COMMUNITY SUPPORT SERVICES, INC.
Other Name: VICTOR COMMUNITY SUPPORT SERVICES, STOCKTON
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization
Specialization: Adolescent and Children Mental Health
Address:
2495 W MARCH LN
SUITE 125
STOCKTON, CA
ZIP 95207
Phone: (209) 465-1080
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VICTOR COMMUNITY SUPPORT SERVICES, INC. is an adolescent and children mental health clinic center in Stockton, 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 1932251980. The provider is registered as an organization entity type.
The provider Other Name Is Victor Community Support Services, Stockton.
The provider's business location address is:
2495 W MARCH LN
SUITE 125
STOCKTON, CA
ZIP 95207-251
Phone: (209) 465-1080
The provider's authorized official is Angie R Wiechert .
The authorized official title is Manager Of Financial Planning 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 8/29/2013.