REDWOOD COMMUNITY SERVICES INC NPI 1528496619

NPI Information

NPI: 1528496619
Provider Name: REDWOOD COMMUNITY SERVICES, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Other Name: REDWOOD COMMUNITY SERVICES - FORT BRAGG
Address: 516 CYPRESS STREET
FORT BRAGG, CA
ZIP 95437
Phone: (707) 961-0308

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NPI Details

REDWOOD COMMUNITY SERVICES, INC is a community behavioral health in Fort Bragg, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. REDWOOD COMMUNITY SERVICES, INC NPI is 1528496619. The provider is registered as an organization entity type.
The provider Other Name Is Redwood Community Services - Fort Bragg.

The provider's business location address is:

516 CYPRESS STREET
FORT BRAGG, CA
ZIP 95437-107
Phone: (707) 961-0308
Fax: (707) 961-0351

The provider's authorized official is Victoria Jerusha Kelly .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 467-2010.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	347C00000X	Private Vehicle		No
3	251S00000X	Community/Behavioral Health		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23CO	OTHER	CALIFORNIA	MENDOCINO COUNTY SITE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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