| NPI | 1972095701 |
|---|---|
| Doing Business As | CRESTWOOD CRISIS STABILIZATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | LORI BLACKBURN CAO/Treasurer 209-955-2322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-07 |