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CRESTWOOD BEHAVIORAL HEALTH INC. NPI 1962702324

NPI Profile

NPI: 1962702324

Provider Name: CRESTWOOD BEHAVIORAL HEALTH, INC.

Doing Business As: CRESTWOOD HOPE CENTER

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X

Entity Type: Organization

Address:
115 ODDSTAD DR
VALLEJO, CA
ZIP 94589

Phone: (707) 552-0215

CRESTWOOD BEHAVIORAL HEALTH, INC. is a community based residential treatment facility, mental illness in Vallejo, 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 1962702324. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood Hope Center.

The provider's business location address is:

115 ODDSTAD DR
VALLEJO, CA
ZIP 94589-520
Phone: (707) 552-0215
Fax: (707) 553-2161

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 11/1/2010 and was last updated on 11/1/2010.

Map - Location of Practice

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: 7/13/2015