Organization
CRESTWOOD BEHAVIORAL HEALTH, INC.
Active
Other names
Solano House Clinic, Solano House
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH (EXECUTIVE DIRECTOR REIMBURSEMENT)
(209) 955-2364
Entity
Organization
Contact information
Practice address
2261 S WATNEY WAY, FAIRFIELD, CA 94533-6757
(209) 955-2316
(209) 671-1520
Mailing address
7590 SHORELINE DR, STOCKTON, CA 95219-5455
(209) 955-2316
(209) 671-1520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
01/28/2026
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