# REDWOOD COMMUNITY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285187526
- **Authorized official:** MRS. VICTORIA JERSUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (707) 467-2010

## Contact information

- **Practice address:** 491 FORD ST, UKIAH, CA 95482-4017
- **Practice address phone:** (707) 468-3805
- **Practice address fax:** (707) 468-3815
- **Mailing address:** PO BOX 2077, 631 S. ORCHARD ST., UKIAH, CA 95482-2077
- **Mailing address phone:** (707) 467-2010
- **Mailing address fax:** (707) 467-6994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2016
- **Last updated:** 11/03/2021
