NPI | 1124046008 |
---|---|
Doing Business As | CRESTWOOD BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MICHELLE SMITH Executive Director Ar And Reimb. 209-955-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 0216013) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-11-30 |