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CASTLEWOOD WEST NPI 1669727517


NPI Information

NPI: 1669727517
Provider Name: CASTLEWOOD WEST
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 05D2171373

Address:
213 17 MILE DR
PACIFIC GROVE, CA
ZIP 93950
Phone: (636) 779-1444
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CASTLEWOOD WEST is a community based residential treatment facility mental illness in Pacific Grove, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CASTLEWOOD WEST NPI is 1669727517. The provider is registered as an organization entity type.

The provider's business location address is:

213 17 MILE DR
PACIFIC GROVE, CA
ZIP 93950-442
Phone: (636) 779-1444
Fax: (636) 779-1094

The provider's authorized official is Andrew Esterer .
The authorized official title is Vp Finance and has the following contact phone number (636) 779-1444.

The CLIA number assigned to this NPI record is 05D2171373 - other - behavioral health care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.


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 IllnessCALIFORNIAYes

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: 4/28/2024

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