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Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC.
Other names
Interpersonal Skills Training Center (ISTC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD COMMUNITY SERVICES, INC.
Authorized official
MRS. VICTORIA JERSUHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 462-2010
Entity
Organization
Contact information
Practice address
6150 ORR SPRINGS RD, UKIAH, CA 95482-9032
(707) 462-5056
(707) 462-5205
Mailing address
PO BOX 2077, UKIAH, CA 95482
(707) 462-5056
(707) 462-5205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01234708
—
CA
01
—
23BB
MENDOCINO CO MH SITE #
CA
01
—
49EF1
SONOMA CO PROVIDER NO.
CA
Enumeration date
02/02/2007
Last updated
01/21/2020
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