THE HARBOR ON MAIN - NPI 1336387455 - Community/Behavioral Health in Lakeport, CA

Q: What is Redwood Community Services, Inc.'s NPI number?

The NPI number for Redwood Community Services, Inc. is 1336387455. It was assigned to this organization in the NPPES registry on January 27, 2009. The provider is also known as The Harbor On Main.

Q: What is Redwood Community Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About The Harbor On Main NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE HARBOR ON MAIN (NPI 1336387455) is a healthcare organization registered as a community/behavioral health in Lakeport, California and active in the NPI registry since January 2009. The organization maintains a secondary practice location in Lower Lake and lists Victoria Jerusha Kelly, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336387455

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameREDWOOD COMMUNITY SERVICES, INC.

Location Address150 S MAIN STLakeport, CA 95453-5017

Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010

Phone(707) 994-5486

Organization SubpartYes

Authorized OfficialVictoria Jerusha KellyChief Executive Officer · (707) 467-2010

Enumeration DateJanuary 27, 2009

Last NPPES UpdateFebruary 12, 20204 updates tracked since enumeration

✔ NPI 1336387455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedContractorTaxonomy 171W00000X

Also ListedCase ManagementTaxonomy 251B00000X

150 S MAIN ST, Lakeport, CA 95453

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Other Names 1

Other NameThe Harbor On Main

Secondary Practice Location 1

Location 116170 Main Street, Suite FLower Lake, CA 95457 · Phone (707) 994-5486 · Fax (707) 995-1841

Other Identifiers 1

Other17CCCA · Lake Co Mh Site #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MESSINA SALAZAR

Rehabilitation Practitioner