| NPI | 1295146934 |
|---|---|
| Doing Business As | CRESTWOOD SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN CAO/Treasurer 209-478-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2018-10-05 |