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Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Parent organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Other names
Champion Healing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRESTWOOD BEHAVIORAL HEALTH, INC.
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
303 S C ST, LOMPOC, CA 93436-7305
(805) 308-8720
(805) 735-4430
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2339
(209) 644-5751
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
05/20/2025
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