| NPI | 1972827343 |
|---|---|
| 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 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2015-05-19 |