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CRESTWOOD BEHAVIORAL HEALTH INC. NPI 1477846012


NPI Information

NPI: 1477846012
Provider Name: CRESTWOOD BEHAVIORAL HEALTH, INC.

Doing Business As: DREAM HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
4256 FRUITRIDGE RD
SACRAMENTO, CA
ZIP 95820
Phone: (209) 427-2363
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CRESTWOOD BEHAVIORAL HEALTH, INC. is a community based residential treatment facility mental illness in Sacramento, 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 1477846012. The provider is registered as an organization entity type.
The provider Is Doing Business As Dream House.

The provider's business location address is:

4256 FRUITRIDGE RD
SACRAMENTO, CA
ZIP 95820-047
Phone: (209) 427-2363
Fax: (916) 429-2631

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 5/16/2011 and was last updated on 5/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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

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