# REDWOOD COMMUNITY SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REDWOOD COMMUNITY SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518418482
- **Legal business name:** REDWOOD COMMUNITY SERVICES, INC
- **Authorized official:** MRS. VICTORIA JERUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (707) 467-2010

## Contact information

- **Practice address:** 9981B SPRING VALLEY RD, POTTER VALLEY, CA 95469-9713
- **Practice address phone:** (707) 743-1015
- **Practice address fax:** (707) 743-1018
- **Mailing address:** PO BOX 2077, UKIAH, CA 95482-2077
- **Mailing address phone:** (707) 467-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2016
- **Last updated:** 08/05/2020