Arbor Outpatient Drug Free Clinic / Resource Center
LBN: Redwood Community Services, Inc.
Arbor Outpatient Drug Free Clinic / Resource Center is an health care organization with primary practice located at 140 Gibson St , Ukiah CA 95482-3941. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty.
Redwood Community Services, Inc. can be contacted via phone (707) 462-7267, or through Kelly, Victoria Jersuha via phone (707) 467-2010.
Contact Information
Primary practice address
140 Gibson St
Ukiah CA 95482-3941
Phone: (707) 462-7267
Fax: (707) 462-2789
Website:
Authorized official contact:
Name: Kelly, Victoria Jersuha Licensed Clinical Social Worker (LCSW)
Phone: (707) 467-2010
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1982017844 |
|---|---|
| LBN Legal business name | Redwood Community Services, Inc. |
| DBA Doing business as | Arbor Outpatient Drug Free Clinic / Resource Center |
| Authorized official | Kelly, Victoria Jersuha Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2014 |
| Last updated | Jan 8th, 2024 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982017844 | NPPES |
| Other | 23CX | MEDICAL SPMH PROVIDER CERTIFICATION NUMBER |
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