NPI | 1316024953 |
---|---|
Doing Business As | CRESTWOOD C.E.N.T.E.R |
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 02054010) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-05-19 |