NPI | 1508884479 |
---|---|
Doing Business As | CRESTWOOD BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |