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Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR AR & REIMB.)
(209) 955-2364
Entity
Organization
Contact information
Practice address
520 CAPITOL MALL STE 800, SACRAMENTO, CA 95814-4716
(916) 471-2244
Mailing address
PO BOX 7095, STOCKTON, CA 95267-0095
(209) 955-2339
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
283Q00000X
Psychiatric Hospital
—
—
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/30/2023
Last updated
01/02/2025
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