Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestwood Behavioral Health, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1407780471

Crestwood Behavioral Health, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in San Luis Obispo, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone: (209) 955-2316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1407780471
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Smith — Executive Director Reimbursement · (209) 955-2364
Other names Crestwood Youth Enhanced Short-Term Residential Therapeutic Program
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address7590 Shoreline Dr, Stockton, CA 95219-5455

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