CRESTWOOD BEHAVIORAL HEALTH INC. NPI 1316024953

NPI Information

CRESTWOOD BEHAVIORAL HEALTH, INC. is an intermediate care facility mental illness in Angwin, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. CRESTWOOD BEHAVIORAL HEALTH, INC. NPI is 1316024953. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood C.e.n.t.e.r.

The provider's business location address is:

295 PINE BREEZE DR
ANGWIN, CA
ZIP 94508-620
Phone: (707) 965-2461
Fax: (707) 965-2700

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 CLIA number assigned to this NPI record is 05D0704971 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/19/2015.

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:

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