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Contact Information

VICTOR COMMUNITY SUPPORT SERVICES, INC.
265 SAN JACINTO RIVER RD
SUITE 106,107, 201-207
LAKE ELSINORE, CA92530
 Phone: 951-674-9243
 Fax: 951-674-9635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Adolescent and Children Mental Health

261QM0855X
Indicates primary specialty

NPI Profile & details for VICTOR COMMUNITY SUPPORT SERVICES, INC.

NPI # 1093868838
LBN Legal business name VICTOR COMMUNITY SUPPORT SERVICES, INC.
Authorized official ANGIE WIECHERT - (DIRECTOR OR FINANCIAL ANALYSIS)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 01/29/2021 - About 5 years ago
Identifiers
CA Other 01042 LEGAL ENTITY #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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