NPI | 1023495181 |
---|---|
Doing Business As | CRESTWOOD CHULA VISTA |
Entity Type | Organization |
Authorized Contact | MICHELLE SMITH Executive Director Ar Reimbursement 209-955-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
Enumeration Date | 2015-04-28 |
Last Update Date | 2023-11-30 |