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 |