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Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Other names
Arbor Outpatient Drug Free Clinic / Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JERSUHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
140 GIBSON ST, UKIAH, CA 95482-3941
(707) 462-7267
(707) 462-2789
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23CX
MEDICAL SPMH PROVIDER CERTIFICATION NUMBER
—
Enumeration date
06/09/2014
Last updated
01/08/2024
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