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Front St Inc

Front St Inc is a health care provider in Santa Cruz, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 155 Willowbrook Dr, Ben Lomond, CA 95005-9714, US
Practice Location Phone831-420-0120
Practice Location Fax831-420-0136
Legal Business NameFRONT ST INC
Other Organization NameWILLOWBROOK MENTAL HEALTH SUPPORT SERVICES
Other Organization Name TypeAn Other Name
NPI ?1841417409
Entity TypeOrganization
Enumeration Date ? Apr 18, 2007
Last Update Date ? Oct 11, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Front St Inc

SpecialtySpecializationLicenseLicense State
Case Management California

legacy-id-icon Legacy Provider IDs of Front St Inc

Provider IdIssuer StateIssuer TypeIssuer
44AZCaliforniaOtherMEDI-CAL PRV NBR

official-icon Authorized Official of Front St Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Front St Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ann M. Butler
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number831-420-0120