NPI | 1679790208 |
---|---|
Other Name | FRONT ST RESIDENTIAL CARE |
Entity Type | Organization |
Authorized Contact | ANN M. BUTLER CEO And Owner 831-420-0120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-04-18 |
Last Update Date | 2022-08-17 |