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 |