| NPI | 1376623256 |
|---|---|
| Doing Business As | CRESTWOOD BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN CAO/Treasurer 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-03-26 |