Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
FRUITRIDGE TRANSITIONAL HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2316
Entity
Organization
Contact information
Practice address
4256 FRUITRIDGE RD, SACRAMENTO, CA 95820-5047
(916) 427-2363
(916) 429-2631
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2328
(209) 952-5314
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
05/20/2025
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