Front St Inc in Santa Cruz - Community Based Residential Treatment Facility, Mental Illness

Front St Inc - NPI 1730306382

Front St Inc is a Community Based Residential Treatment Facility, Mental Illness in Santa Cruz, California. Front St Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Front St Inc is 1730306382. The last update date is 2022-08-17.

Front St Inc's current location address is 2115 7th Ave, Santa Cruz, California. You can contact this provider via phone number 8314200120 and fax number 8314200136. The mailing address for Front St Inc is 2115 7th Ave, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Front St Inc
Address 2115 7th Ave, Santa Cruz, California
Phone Number 8314200120
Fax Number 8314200136
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO AND OW
Authorized Official Name Butler M. Ann
Telephone Number 8314200120

NPI Number Detail

NPI Number 1730306382
Provider Enumeration Date 2007-04-18
Last Updated Date 2022-08-17

Provider Mailing Address Detail

Address 2115 7th Ave
City Santa Cruz
State California (CA)
Post Code 950621663
Phone Number 8314200120
Fax Number 8314200136

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4476 CA MEDI-CAL PRV NBR

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FAQs about Front St Inc

What is the unique identifier code issued to Front St Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Front St Inc has been assigned the NPI (National Provider Identifier) 1730306382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Front St Inc?

The Front St Inc is situated at 2115 7Th Ave, in the city of Santa Cruz, state of CA, with the zip code 950621663.

What is Front St Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Front St Inc is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.

When was the Front St Inc's 1730306382 issued?

The Front St Inc's 1730306382 was issued on 2007-04-18.

When was the information related to Front St Inc most recently updated or refreshed?

The details pertaining to the Front St Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-17.

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