CRESTWOOD BEHAVIORAL HEALTH INC NPI 1992053631

NPI Information

NPI: 1992053631
Provider Name: CRESTWOOD BEHAVIORAL HEALTH INC
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
482 AZTEC LN
LATHROP, CA
ZIP 95330
Phone: (209) 922-9902
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CRESTWOOD BEHAVIORAL HEALTH INC is a psychiatric hospital in Lathrop, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. CRESTWOOD BEHAVIORAL HEALTH INC NPI is 1992053631. The provider is registered as an organization entity type.

The provider's business location address is:

482 AZTEC LN
LATHROP, CA
ZIP 95330-142
Phone: (209) 922-9902

The provider's authorized official is Amanda Michelle Snyder .
The authorized official title is Licensed Psych Tech and has the following contact phone number (209) 922-9902.

The enumeration date for this NPI number is 8/28/2012 and was last updated on 8/28/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	314000000X	Skilled Nursing Facility		LP36472	CALIFORNIA	No
2	283Q00000X	Psychiatric Hospital		LP36472	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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