Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC
Other names
Mendocino House
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
150 GIBSON ST, UKIAH, CA 95482-3941
(707) 462-4770
Mailing address
PO BOX 2077, 631 S. ORCHARD ST, UKIAH, CA 95482-2077
(707) 467-2010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23BV
MH SITE CERT - MENDOCINO COUNTY MH
CA
Enumeration date
11/25/2008
Last updated
09/02/2025
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