NPI 1124046008

Crestwood Behavioral Health, INC.

Organisation Mental Illness Intermediate Care Facility Eureka, CA

Practice location

Address: 2370 Buhne St, Eureka, CA 95501-3237
Phone: (707) 442-5721
Fax: (707) 442-4812
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

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 0216013 (CA)

Other Intermediate Care Facility, Mental Illness providers in California →

Registry record

NPI: 1124046008
Entity type: Organization
NPI issued: 18 Jul 2006
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.