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Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC.
Other names
RCS Willits
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD COMMUNITY SERVICES, INC.
Authorized official
MRS. VICTORIA JERUSHA KELLY LCSW (CHIEF EXECUTIVE DIRECTOR)
(707) 467-2010
Entity
Organization
Contact information
Practice address
99 S HUMBOLDT ST, WILLITS, CA 95490-3509
(707) 459-9900
(707) 459-9904
Mailing address
PO BOX 2462, WILLITS, CA 95490-2462
(707) 459-9900
(707) 459-9904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174661284
—
CA
01
—
23AW
MENDOCINO CO MH SITE #
CA
01
—
41A4
SAN MATEO MH SITE #
CA
01
—
49ED1
SONOMA CO PROVIDER NO.
CA
Enumeration date
02/01/2007
Last updated
01/21/2020
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