| Victor Community Support Services, Manteca | |
|
302 Cherry Ln Suites 101, 201 & 208 Manteca CA 95337-4311 | |
| (209) 647-6200 | |
| (209) 647-6210 |
| Full Name | Victor Community Support Services, Manteca |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 Cherry Ln, Manteca, California |
| Authorized Official Name and Position | Angie R Wiechert (DIRECTOR OF FINANCIAL ANALYSIS) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Community Support Services, Manteca 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Victor Community Support Services, Manteca 302 Cherry Ln Suites 101, 201 & 208 Manteca CA 95337-4311 Ph: (209) 647-6200 |
| NPI Number | 1215579628 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215579628 | NPI | - | NPPES |
| 01042 | Other | CA | LEGAL ENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Larry R Cote & Kristin B Cote Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Cherry Ln, Suite 110, Manteca, CA 95337 Phone: 209-239-3334 Fax: 209-465-3416 | |
San Joaquin County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lehr Pl, Manteca, CA 95336 Phone: 209-275-7196 | |
Therapy With Amir Licensed Professional Clinical Counselor Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 Belmont Pl, Manteca, CA 95337 Phone: 313-296-8734 | |
Bbxcs Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Benjamin Pl, Manteca, CA 95337 Phone: 209-603-2249 | |
Rotolo Behavioral Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 Armstrong Dr, Manteca, CA 95336 Phone: 408-679-1888 | |
Community Psychiatry Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln. Ste 208, Manteca, CA 95337 Phone: 209-823-2246 Fax: 209-823-2251 |