Organization · Type 2 NPI

Victor Community Support Services, Inc.

Community/Behavioral Health Agency · San Jose, CA

NPI number 1962392704 Active

Practice location

97 E Brokaw Rd Ste 150
San Jose, CA 95112-4221

Call (408) 726-1849 Map

Fax (530) 230-1264

Mailing address

1360 E Lassen Ave
Chico, CA 95973-7823

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

12 other providers at this address

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NPI record

NPI: 1962392704
Entity type: Organization (Type 2)
Issued: Jul 3, 2025
Last updated: Aug 21, 2025
Status: Active

Other names

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Victor Community Support Services, San Jose · other name
Victor Community Support Services, San Jose · other name

Authorized official

Angie R Wiechert
Director of Financial Analysis
(530) 230-1210

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962392704

Victor Community Support Services, Inc.'s National Provider Identifier is 1962392704, issued on Jul 3, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 21, 2025.