Organization · Type 2 NPI

Crestwood Behavioral Health, Inc

Mental Illness Intermediate Care Facility · San Jose, CA

NPI number 1376623256 Active

Practice location

1425 Fruitdale Ave
San Jose, CA 95128-3234

Call (408) 275-1010 Map

Fax (408) 275-1066

Mailing address

7590 Shoreline Dr
Stockton, CA 95219-5455

Specialties and licenses

Taxonomy	Code	License
Mental Illness Intermediate Care Facility Primary	310500000X	None listed

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

7 other providers at this address

NPI record

NPI: 1376623256
Entity type: Organization (Type 2)
Issued: Oct 16, 2006
Last updated: Sep 16, 2025
Status: Active

Other names

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Crestwood Behavioral Health Center · doing business as
Crestwood Behavioral Health Center · doing business as

Authorized official

Ms. Michelle Smith
Executive Director Reimbursement
(209) 955-2364

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About NPI 1376623256

Crestwood Behavioral Health, Inc's National Provider Identifier is 1376623256, issued on Oct 16, 2006. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in San Jose, CA. The record was last updated on Sep 16, 2025.