| NPI | 1295146934 |
|---|---|
| Doing Business As | CRESTWOOD SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SMITH Executive Director Reimbursement 209-955-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2025-05-20 |