Provider Demographics
NPI:1497106769
Name:CASTLEWOOD TREATMENT CENTER WEST
Entity Type:Organization
Organization Name:CASTLEWOOD TREATMENT CENTER WEST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF PATIENT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-779-1444
Mailing Address - Street 1:10 HARRIS CT
Mailing Address - Street 2:BUILDING C, SUITE 6
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5704
Mailing Address - Country:US
Mailing Address - Phone:831-718-9590
Mailing Address - Fax:831-655-1258
Practice Address - Street 1:10 HARRIS CT
Practice Address - Street 2:BUILDING C, SUITE 6
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5704
Practice Address - Country:US
Practice Address - Phone:831-718-9590
Practice Address - Fax:831-655-1258
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASTLEWOOD TREATMENT CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility