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Organization
CRESTWOOD BEHAVIORAL HEALTH INC
Active
Organization
CRESTWOOD BEHAVIORAL HEALTH INC
Active
Parent organization
CRESTWOOD BEHAVIORAL HEALTH INC
Other names
CRESTWOOD MANOR-FREMONT
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
4303 STEVENSON BLVD, FREMONT, CA 94538-2645
(510) 651-1244
(510) 651-1127
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
—
LTC90080F
—
CA
Enumeration date
07/24/2006
Last updated
05/20/2025
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