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FRONT ST INC NPI 1710210505


NPI Information

NPI: 1710210505
Provider Name: FRONT ST INC

Other Name: DRAKE HOUSE RESIDENTIAL

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
399 DRAKE AVE
MONTEREY, CA
ZIP 93940
Phone: (831) 643-9069
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FRONT ST INC is a community based residential treatment facility mental illness in Monterey, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. FRONT ST INC NPI is 1710210505. The provider is registered as an organization entity type.
The provider Other Name Is Drake House Residential.

The provider's business location address is:

399 DRAKE AVE
MONTEREY, CA
ZIP 93940-504
Phone: (831) 643-9069

The provider's authorized official is Ann M. Butler .
The authorized official title is Ceo And Owner and has the following contact phone number (831) 420-0120.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
127BW1OTHERCALIFORNIAMEDI-CAL PRV NBR
244CFOTHERCALIFORNIAMEDI-CAL PRV NBR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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