Organization · Type 2 NPI

Front ST Inc

Mental Illness Community Based Residential Treatment Facility · Santa Cruz, CA

NPI number 1679790208 Active

Practice location

126 Front St
Santa Cruz, CA 95060-4402

Call (831) 420-0120 Map

Fax (831) 420-0136

Mailing address

2115 7th Ave
Santa Cruz, CA 95062-1663

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

42 other providers at this address

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NPI record

NPI: 1679790208
Entity type: Organization (Type 2)
Issued: Apr 18, 2007
Last updated: Aug 17, 2022
Status: Active
Subpart: Yes of Front ST Inc

Other names

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Front ST Residential Care · other name
Front ST Residential Care · other name

Authorized official

Ann M. Butler
CEO and Owner
(831) 420-0120

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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 1679790208

Front ST Inc's National Provider Identifier is 1679790208, issued on Apr 18, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Santa Cruz, CA. The record was last updated on Aug 17, 2022.