REDWOOD COMMUNITY SERVICES INC NPI 1720741093

NPI Information

NPI: 1720741093
Provider Name: REDWOOD COMMUNITY SERVICES, INC

Other Name: PHOENIX HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
641 S. ORCHARD AVE
UKIAH, CA
ZIP 95482
Phone: (707) 467-2010
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REDWOOD COMMUNITY SERVICES, INC is a community based residential treatment facility mental illness in Ukiah, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. REDWOOD COMMUNITY SERVICES, INC NPI is 1720741093. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix House.

The provider's business location address is:

641 S. ORCHARD AVE
UKIAH, CA
ZIP 95482
Phone: (707) 467-2010

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

The enumeration date for this NPI number is 10/14/2021 and was last updated on 11/3/2021.

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	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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: 5/5/2024

NPI Synchronization or Removal

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