CRESTWOOD BEHAVIORAL HEALTH INC NPI 1376623256

NPI Information

CRESTWOOD BEHAVIORAL HEALTH, INC is an intermediate care facility mental illness in San Jose, 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 1376623256. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestwood Behavioral Health Center.

The provider's business location address is:

1425 FRUITDALE AVE
SAN JOSE, CA
ZIP 95128-234
Phone: (408) 275-1010
Fax: (408) 275-1066

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

The enumeration date for this NPI number is 10/16/2006 and was last updated on 3/26/2019.

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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