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Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
CRESTWOOD CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2316
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
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
05/20/2025
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