Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC.
Other names
H.O.M.E. Tule House
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD COMMUNITY SERVICES, INC.
Authorized official
MRS. VICTORIA JERSUHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
675 1ST ST, UPPER LAKE, CA 95485
(707) 275-8776
Mailing address
PO BOX 2077, 631 S. ORCHARD STREET, UKIAH, CA 95482-2077
(707) 467-2010
(707) 463-4931
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
01/21/2020
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