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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
MRS. VICTORIA JERSUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
491 FORD ST, UKIAH, CA 95482-4017
(707) 468-3805
(707) 468-3815
Mailing address
PO BOX 2077, 631 S. ORCHARD ST., UKIAH, CA 95482-2077
(707) 467-2010
(707) 467-6994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
11/03/2021
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