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Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JERUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
14360 LAKESHORE DR, CLEARLAKE, CA 95422-8149
(707) 467-2010
Mailing address
PO BOX 2077, 631 S. ORCHARD ST., UKIAH, CA 95482
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
07/23/2024
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