FRONT ST. INC. NPI 1922242734

NPI Information

NPI: 1922242734
Provider Name: FRONT ST. INC.

Other Name: HOUSING SUPPORT TEAM

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1201 SHAFFER RD
BLDG 1, SUITE 1A
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 420-0120
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FRONT ST. INC. is a community based residential treatment facility mental illness in Santa Cruz, 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 1922242734. The provider is registered as an organization entity type.
The provider Other Name Is Housing Support Team.

The provider's business location address is:

1201 SHAFFER RD
BLDG 1, SUITE 1A
SANTA CRUZ, CA
ZIP 95060-761
Phone: (831) 420-0120

The provider's authorized official is Jonathan P Butler .
The authorized official title is Vice President and has the following contact phone number (831) 515-2393.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44AV	OTHER	CALIFORNIA	MEDI-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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