Organization
CRESTWOOD BEHAVIORAL HEALTH, INC
Active
Other names
Crestwood Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
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
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
09/16/2025
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