Organization · Type 2 NPI

Crestwood Behavioral Health, Inc.

Mental Illness Intermediate Care Facility · Lompoc, CA

NPI number 1487282273 Active

Practice location

303 S C St
Lompoc, CA 93436-7305

Call (805) 308-8720 Map

Fax (805) 735-4430

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.

6 other providers at this address

NPI record

NPI: 1487282273
Entity type: Organization (Type 2)
Issued: Mar 29, 2020
Last updated: May 20, 2025
Status: Active
Subpart: Yes of Crestwood Behavioral Health, Inc.

Other names

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Champion Healing Center · doing business as

Authorized official

Michelle Smith
Executive Director Reimbursement
(209) 955-2364

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487282273

Crestwood Behavioral Health, Inc.'s National Provider Identifier is 1487282273, issued on Mar 29, 2020. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Lompoc, CA. The record was last updated on May 20, 2025.