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Front St Inc
Mental Illness Community Based Residential Treatment Facility in Capitola, California
NPI 1730306382

Front St Inc is a Mental Illness Community Based Residential Treatment Facility based in Santa Cruz, CA. Front St Inc practices in Capitola, CA. The NPI Number for Front St Inc is 1730306382 and holds a License No. (California).

The current practice location address for Front St Inc is 4795 Opal Cliff Dr, Capitola, CA and can be reached out via phone at 831-420-0120 and via fax at 831-420-0136.

Location: 4795 Opal Cliff Dr, Capitola, CA, 95062-1663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730306382
Provider Name
Front St Inc
Credential
Provider Entity Type
Organization
Address
4795 Opal Cliff Dr, Capitola, CA, 95062-1663
Phone Number
831-420-0120
Fax Number
831-420-0136
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4476 01 CA MEDI-CAL PRV NBR
institution
Provider Business Practice Location Address Details
Address
4795 Opal Cliff Dr
City
Capitola
State
California
Zip
95062-5229
Phone Number
831-420-0120
Fax Number
831-420-0136
person
Provider Business Mailing Address Details
Address
4795 Opal Cliff Dr
City
Capitola
State
California
Zip
95062-5229
Phone Number
831-420-0120
Fax Number
831-420-0136
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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