NPI 1073989661
Crestwood Behavioral Health, INC.
Practice location
- Address
- 1200 Smith St, Kingsburg, CA 93631-2216
- Phone
- (209) 955-2328
- Fax
- (209) 644-5721
- Mailing address
- 7590 Shoreline Dr, Stockton, CA 95219-5455
Authorised official
- Name
- Michelle Smith
- Title
- Executive Director Ar and Reimb.
- Phone
- (209) 955-2364
Registered specialties
Mental Illness Intermediate Care Facility
Primary
Registry record
- NPI
- 1073989661
- Entity type
- Organization
- NPI issued
- 18 Aug 2015
- Record last updated
- 30 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.