NPI | 1275610800 |
---|---|
Doing Business As | CRESTWOOD BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 02064012) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-07-31 |