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Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD COMMUNITY SERVICES, INC
Authorized official
MRS. VICTORIA JERUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
9981B SPRING VALLEY RD, POTTER VALLEY, CA 95469-9713
(707) 743-1015
(707) 743-1018
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
08/05/2020
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