Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
Kingsburg Healing Center
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
1200 SMITH ST, KINGSBURG, CA 93631-2216
(209) 955-2328
(209) 644-5721
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2328
(209) 644-5721
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
11/30/2023
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