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Organization

CRESTWOOD BEHAVIORAL HEALTH, INC.

Active
Other names
CRESTWOOD PSYCHIATRIC HEALTH FACILITY-SAN JOSE
Organization subpart
No

Provider details

NPI number
Authorized official
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
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
11/01/2010
Last updated
05/20/2025
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