| NPI | 1356411656 |
|---|---|
| Doing Business As | CRESTWOOD 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 02099029) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-05-19 |