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General NPI Number Information
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NPI Number | 1750718318
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Entity Type | Organization
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Legal Business Name | CRESTWOOD BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 550 PATTERSON BLVD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4155
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Country | US
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Telephone | 925-938-8050
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Fax | 925-938-8040
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Provider Business Mailing Address
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Address Line | 550 PATTERSON BLVD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4155
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Country | US
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Telephone | 925-938-8050
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Fax | 925-938-8040
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR REIMBURSEMENT
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Name | MICHELLE SMITH
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Credential |
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Telephone | 209-955-2364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 36382
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License Number State | CA
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