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Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Other names
RCS Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JERUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
160 S MAIN ST, LAKEPORT, CA 95453
(707) 263-0372
Mailing address
PO BOX 2077, 631 S. ORCHARD STREET, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01164707
—
CA
05
—
01726307
—
CA
05
—
01816207
—
CA
01
—
0851
DEL NORTE CO PROVIDER NO
CA
01
—
1791
LAKE CO. MH SITE #
CA
01
—
2377
MENDOCINO CO. PROVIDER NO.
—
01
—
27A7
NAPA CO SITE #
CA
01
—
49EC1
SONOMA CO PROVIDER NO
CA
01
—
5878
SUTTER-YUBA CO PROVIDER NO
CA
Enumeration date
12/21/2006
Last updated
01/13/2020
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