| Redwood Community Services, Inc | |
|
516 Cypress St Fort Bragg CA 95437-5410 | |
| (707) 961-0308 | |
| (707) 961-0351 |
| Full Name | Redwood Community Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 516 Cypress St, Fort Bragg, California |
| Authorized Official Name and Position | Victoria J Kelly (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7074722922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Community Services, Inc Po Box 2077 Ukiah CA 95482-2077 Ph: (707) 467-2010 | Redwood Community Services, Inc 516 Cypress St Fort Bragg CA 95437-5410 Ph: (707) 961-0308 |
| NPI Number | 1639858657 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639858657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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