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CRESTWOOD BEHAVIORAL HEALTHINC NPI 1801001730


NPI Information

NPI: 1801001730
Provider Name: CRESTWOOD BEHAVIORAL HEALTH,INC

Doing Business As: LIVING QUEST PROGRAM

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2201 TUOLUMNE ST
VALLEJO, CA
ZIP 94589
Phone: (707) 558-1777
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CRESTWOOD BEHAVIORAL HEALTH,INC is a day training developmentally disabled services in Vallejo, CA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. CRESTWOOD BEHAVIORAL HEALTH,INC NPI is 1801001730. The provider is registered as an organization entity type.
The provider Is Doing Business As Living Quest Program.

The provider's business location address is:

2201 TUOLUMNE ST
VALLEJO, CA
ZIP 94589-524
Phone: (707) 558-1777
Fax: (707) 558-1770

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 5/14/2007 and was last updated on 8/22/2020.


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
1251C00000XDay Training, Developmentally Disabled ServicesYes

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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