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Organization
CRESTWOOD BEHAVIORAL HEALTH, INC
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH, INC
Active
Other names
Crestwood Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
1425 FRUITDALE AVE, SAN JOSE, CA 95128-3234
(408) 275-1010
(408) 275-1066
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2328
(209) 952-5314
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
09/16/2025
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