NPI 1376623256

Crestwood Behavioral Health, INC

Organisation Mental Illness Intermediate Care Facility San Jose, CA

Practice location

Address: 1425 Fruitdale Ave, San Jose, CA 95128-3234
Phone: (408) 275-1010
Fax: (408) 275-1066
Mailing address: 7590 Shoreline Dr, Stockton, CA 95219-5455

Authorised official

Name: Michelle Smith
Title: Executive Director Reimbursement
Phone: (209) 955-2364

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in California →

Registry record

NPI: 1376623256
Entity type: Organization
NPI issued: 16 Oct 2006
Record last updated: 16 Sep 2025

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.