Organization
REDWOOD COMMUNITY SERVICES, INC
Active
Parent organization
REDWOOD COMMUNITY SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REDWOOD COMMUNITY SERVICES, INC
Authorized official
DONETTA GONZALEZ (PQI SUPERVISOR)
(707) 467-2010
Entity
Organization
Contact information
Practice address
631 S ORCHARD AVE, UKIAH, CA 95482-5011
(707) 467-2010
(707) 467-2018
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 467-2000
(707) 467-2018
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236803532
FFA FACILITY NUMBER
CA
Enumeration date
07/16/2013
Last updated
10/24/2022
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