Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
Crestwood Chula Vista
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR AR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
960 THIRD AVE, CHULA VISTA, CA 91911
(209) 478-5291
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 478-5291
(209) 952-5314
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
11/30/2023
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