CRESTWOOD BEHAVIORAL HEALTH INC. NPI 1093892663

NPI Information

NPI: 1093892663
Provider Name: CRESTWOOD BEHAVIORAL HEALTH, INC.

Doing Business As: BRIDGE PROGRAM - FRESNO

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
153 N U ST
FRESNO, CA
ZIP 93701
Phone: (559) 445-9094
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CRESTWOOD BEHAVIORAL HEALTH, INC. is a community based residential treatment facility mental illness in Fresno, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CRESTWOOD BEHAVIORAL HEALTH, INC. NPI is 1093892663. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Program - Fresno.

The provider's business location address is:

153 N U ST
FRESNO, CA
ZIP 93701-438
Phone: (559) 445-9094
Fax: (559) 445-9083

The provider's authorized official is Lori Blackburn .
The authorized official title is Vice President and has the following contact phone number (209) 955-2322.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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