| NPI | 1821269093 |
|---|---|
| Doing Business As | CRESTWOOD PSYCHIATRIC HEALTH FACILITY |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN Vice President 209-955-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CA 02034040) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-11-16 |