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Organization
CRESTWOOD BEHAVIORAL HEALTH
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-7177
(559) 600-7737
Mailing address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-7177
(559) 600-7737
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
700143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700143
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
04/29/2015
Last updated
05/20/2025
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