VICTOR TREATMENT CENTER – NPI #1518304138
Residential Treatment Facility, Emotionally Disturbed Children

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.

VICTOR TREATMENT CENTER is a residential treatment facility located in SANTA ROSA, CA. NPPES has assigned the NPI number 1518304138 to VICTOR TREATMENT CENTER on May 23, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTOR TREATMENT CENTER below.

NPI Profile for
VICTOR TREATMENT CENTER

NPI Number
1518304138
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTOR TREATMENT CENTER
Primary location
3164 CONDO CT
SANTA ROSA, CA 95403-2557
Phone: (707) 576-7218 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNI SHIPERLY
MENTAL HEALTH REHAB SPECIALIST
Phone: (707) 291-8700
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.