VICTOR TREATMENT CENTERS, INC. (NPI# 1285123117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285123117 |
| Entity Type | Organization |
| Organization Name | VICTOR TREATMENT CENTERS, INC. |
| Other Organization Name | VTC CLAIRVAUX HOUSE |
| Practice Address |
20846 Clairvaux Drive Redding CA 96002 |
| Mailing Address |
1360 E Lassen Ave Chico CA 95973-7823 |
| Practice Telephone | 5305493472 |
| Mailing Telephone | 5308930758 |
| Mailing Fax Number | 5308930502 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | ANGIE R WIECHERT (CONTROLLER) |
| Authorized Official Telephone | 5302301210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGAL ENTITY NUMBER | 00118 | 01 |
| Other Name | Type Code |
|---|---|
| VTC Clairvaux House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346739273 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 600 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1891284725 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 620 Irwin Ln, Santa Rosa, CA 95401-5607 | 2018-05-07 |
| 1346739265 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1136 Clover Dr, Santa Rosa, CA 95401-4512 | 2018-05-07 |
| 1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1417446493 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 520 Oasis Dr, Santa Rosa, CA 95407-7717 | 2018-05-06 |
| 1063901049 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 565 Piezzi Rd, Santa Rosa, CA 95401-5536 | 2018-05-06 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| 1487218830 | Victor Treatment Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3244 E Green St, Pasadena, CA 91107-3836 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VICTOR TREATMENT CENTERS, INC. | 1360 E Lassen Ave, Chico, CA 95973-7823 |
| Street Address |
20846 CLAIRVAUX DRIVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| 1427293299 | Darren A Smith | Marriage & Family Therapist | 3402 Bechelli Ln Ste E, Redding, CA 96002 | 2008-12-09 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345317 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 21282 Tia Mia Ln, Redding, CA 96003-9359 | 2018-05-07 |
| 1134618044 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19767 Paso Robles Ave, Redding, CA 96003-7769 | 2018-05-07 |
| 1528557501 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 13403 Kings Way, Redding, CA 96003-7017 | 2018-05-06 |
| 1700375789 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4223 Alta Mesa Dr, Redding, CA 96002-3727 | 2018-05-06 |
| 1760972210 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 855 Canyon Rd, Redding, CA 96001 | 2018-05-10 |
| 1548713027 | Hillcrest Community Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1890 Park Marina Dr, Suite 110, Redding, CA 96001-0961 | 2016-08-01 |
| 1730513557 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 855 Canyon Rd, Redding, CA 96001-5544 | 2013-08-28 |
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|---|---|---|---|---|
| 1144820499 | Catholic Charities of The Diocese of Oakland | Residential Treatment Facility, Emotionally Disturbed Children | 3700 Dorisa Ave, Oakland, CA 94605-4941 | 2020-10-27 |
| 1922607944 | Inspire A Youth, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7556 Avenida Baja, Riverside, CA 92509-3449 | 2020-10-21 |
| 1235736554 | Yvonne Dionne Robinson | Residential Treatment Facility, Emotionally Disturbed Children | 1223 E Helmick St, Carson, CA 90746-3163 | 2020-10-09 |
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| 1548877657 | T & T House of Champions | Residential Treatment Facility, Emotionally Disturbed Children | 2115 High St, Oakland, CA 94601-4335 | 2020-09-23 |
| 1902412182 | Paradise Adolescent Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 136 Valdivia Cir, San Ramon, CA 94583-2228 | 2020-09-22 |
| 1073128492 | Samuel Campbell Jr. | Residential Treatment Facility, Emotionally Disturbed Children | 4200 Crescent Rock Ln, Bakersfield, CA 93311-2860 | 2020-09-11 |
| 1336753433 | Aaron's Boys Home | Residential Treatment Facility, Emotionally Disturbed Children | 5805 Capistrano Ave Ste E, Atascadero, CA 93422-7218 | 2020-09-04 |
| 1699389452 | Millie's Youth Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2512 Havenscourt Blvd, Oakland, CA 94605-1935 | 2020-08-31 |
| 1538779871 | Hidden Treasures Foundation, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1240 W 13th Ave, Escondido, CA 92025-5560 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.