# CRESTWOOD BEHAVIORAL HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestwood Youth Enhanced Short-Term Residential Therapeutic Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407780471
- **Authorized official:** MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
- **Authorized official phone:** (209) 955-2364

## Contact information

- **Practice address:** 2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
- **Practice address phone:** (209) 955-2316
- **Mailing address:** 7590 SHORELINE DR, STOCKTON, CA 95219-5455
- **Mailing address phone:** (209) 955-2316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2026
- **Last updated:** 06/12/2026