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.
|Practice Location||155 Willowbrook Dr, Ben Lomond, CA 95005-9714, US|
|Practice Location Phone||831-420-0120|
|Practice Location Fax||831-420-0136|
|Legal Business Name||FRONT ST INC|
|Other Organization Name||WILLOWBROOK MENTAL HEALTH SUPPORT SERVICES|
|Other Organization Name Type||An Other Name|
|Enumeration Date ?||Apr 18, 2007|
|Last Update Date ?||Oct 11, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|44AZ||California||Other||MEDI-CAL PRV NBR|
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/Position||PRESIDENT|
|Authorized Official Phone Number||831-420-0120|