NPI 1467604835

Victoria Division

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Rancho Cucamonga, CA

Practice location

Address: 13342 Victoria St, Rancho Cucamonga, CA 91739-2020
Phone: (909) 899-5046
Fax: (909) 463-2005

Authorised official

Name: Deisy Odett Mendoza
Title: Executive Director
Phone: (909) 912-9314

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 240000762 (CA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1467604835
Entity type: Organization
NPI issued: 16 Oct 2008
Record last updated: 18 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.