Healthcare Provider Details

I. General information

NPI: 1447572557
Provider Name (Legal Business Name): CRESTWOOD BEHAVIORAL HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2010
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6744 EUCALYPTUS DRIVE
BAKERSFIELD CA
93306
US

IV. Provider business mailing address

6744 EUCALYPTUS DR
BAKERSFIELD CA
93306
US

V. Phone/Fax

Practice location:
  • Phone: 661-363-6654
  • Fax:
Mailing address:
  • Phone: 661-363-6654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SMITH
Title or Position: EXECUTIVE DIRECTOR REIMBURSEMENT
Credential:
Phone: 209-955-2364