Crestwood Behavioral Health, Inc. in Vallejo - Intermediate Care Facility, Mental Illness
Crestwood Behavioral Health, Inc. - NPI 1508935834
Crestwood Behavioral Health, Inc. is a Intermediate Care Facility, Mental Illness in Vallejo, California. Crestwood Behavioral Health, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Crestwood Behavioral Health, Inc. is 1508935834. The last update date is 2015-05-19.
Crestwood Behavioral Health, Inc.'s current location address is 115 Oddstad Dr, Vallejo, California. You can contact this provider via phone number 7075520215 and fax number 7075531424. The mailing address for Crestwood Behavioral Health, Inc. is 115 Oddstad Dr, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestwood Behavioral Health, Inc. |
|---|---|
| Address | 115 Oddstad Dr, Vallejo, California |
| Phone Number | 7075520215 |
| Fax Number | 7075531424 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blackburn Lori |
| Telephone Number | 2099552322 |
NPI Number Detail
| NPI Number | 1508935834 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2015-05-19 |
Provider Mailing Address Detail
| Address | 115 Oddstad Dr |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892520 |
| Phone Number | 7075520215 |
| Fax Number | 7075531424 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 2060027 |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the Crestwood Behavioral Health, Inc.'s 1508935834?
The Crestwood Behavioral Health, Inc.'s NPI (National Provider Identifier) Number is 1508935834. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Crestwood Behavioral Health, Inc.'s physical address?
The Crestwood Behavioral Health, Inc. is physically located at 115 Oddstad Dr, in the city of Vallejo, CA, with the postal code 945892520.
What is Crestwood Behavioral Health, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crestwood Behavioral Health, Inc. is Intermediate Care Facility, Mental Illness, and the taxonomy classification code that categorizes this area of expertise is 310500000X.
On what date did Crestwood Behavioral Health, Inc. receive its 1508935834 assignment from the Centers for Medicare & Medicaid Services?
The Crestwood Behavioral Health, Inc. was assigned its 1508935834 on 2006-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Crestwood Behavioral Health, Inc. most recently updated or revised?
The information pertaining to Crestwood Behavioral Health, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-05-19.