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Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
CRESTWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
1400 CELESTE DR, MODESTO, CA 95355-5041
(209) 526-8050
(209) 523-0652
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2328
(209) 952-5314
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18515H
—
CA
Enumeration date
07/18/2006
Last updated
05/20/2025
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