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Redwood Community Services, INC

Community/Behavioral Health in Ukiah, CA. Organization (NPI-2).

NPI number1831237015
StatusActive
Last updated in NPPESJan 21, 2020

Details

NPI
1831237015
Entity type
Organization (NPI-2)
Legal business name
Redwood Community Services, INC
Organization subpart
No
Enumeration date
Feb 1, 2007
Certification date
Jan 21, 2020
Last updated
Jan 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101Y00000X Counselor––
101YM0800X Counselor, Mental Health––
103TR0400X Psychologist, Rehabilitation––
1041C0700X Social Worker, Clinical––
171M00000X Case Manager/Care Coordinator––
171W00000X Contractor––
251300000X Local Education Agency (LEA)––
251B00000X Case Management––
252Y00000X Early Intervention Provider Agency––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

631 S Orchard Ave
Ukiah, CA 95482-5011

Phone 707-472-2922 · Fax 707-462-5172

Mailing address

Po Box 2077
631 S. Orchard St.
Ukiah, CA 95482-2077

Phone 707-467-2010 · Fax 707-462-6994

Other practice locations

376 E Gobbi St Ste B
Ukiah, CA 95482-5511

Phone 707-472-2922 · Fax 707-462-1381

Authorized official

Victoria Jerusha Kelly
Chief Executive Officer
7074672010

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