Organization
CRESTWOOD BAKERSFIELD BRIDGE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR AR AND REIMB.)
(209) 955-2364
Entity
Organization
Contact information
Practice address
6711 EUCALYPTUS DR, BAKERSFIELD, CA 93306
(661) 363-6711
Mailing address
6711 EUCALYPTUS DR, BAKERSFIELD, CA 93306
(661) 363-6711
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
157206291
CA
Other
Enumeration date
11/18/2010
Last updated
11/30/2023
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