Organization
REDWOOD COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA JERSUSHA KELLY LCSW (CHIEF EXECUTIVE OFFICER)
(707) 467-2010
Entity
Organization
Contact information
Practice address
491 FORD ST, UKIAH, CA 95482-4017
(707) 468-3805
(707) 468-3815
Mailing address
PO BOX 2077, 631 S. ORCHARD ST., UKIAH, CA 95482-2077
(707) 467-2010
(707) 467-6994
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
11/03/2021
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