NPI | 1528496619 |
---|---|
Other Name | REDWOOD COMMUNITY SERVICES - FORT BRAGG |
Entity Type | Organization |
Authorized Contact | VICTORIA JERUSHA KELLY Chief Executive Officer 707-467-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
347C00000X Private Vehicle | |
Enumeration Date | 2013-10-29 |
Last Update Date | 2023-02-14 |