Organization · Type 2 NPI

Victor Treatment Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Santa Rosa, CA

NPI number 1174965214 Active

Practice location

341 Irwin Ln
Santa Rosa, CA 95401-5603

Call (707) 576-7218 Map

Mailing address

3164 Condo Court
Santa Rosa, CA 95401

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	52872 (CA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1174965214

Victor Treatment Center's National Provider Identifier is 1174965214, issued on Jul 17, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 17, 2013.