VICTOR TREATMENT CENTERS INC. NPI 1962848580

NPI Information

NPI: 1962848580
Provider Name: VICTOR TREATMENT CENTERS, INC.

Other Name: VICTOR TREATMENT

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3164 CONDO CT
SANTA ROSA, CA
ZIP 95403
Phone: (707) 576-7218
Get Directions

VICTOR TREATMENT CENTERS, INC. is a community based residential treatment facility mental illness in Santa Rosa, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. VICTOR TREATMENT CENTERS, INC. NPI is 1962848580. The provider is registered as an organization entity type.
The provider Other Name Is Victor Treatment.

The provider's business location address is:

3164 CONDO CT
SANTA ROSA, CA
ZIP 95403-557
Phone: (707) 576-7218

The provider's authorized official is Lenny Ray Verser .
The authorized official title is Cfo and has the following contact phone number (530) 893-0758.

The enumeration date for this NPI number is 5/22/2013 and was last updated on 5/22/2013.

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
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		1881753663	CALIFORNIA	Yes

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
1	00118	OTHER	CALIFORNIA	VICTOR TREATMENT CENTERS

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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