# FRONT ST INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRONT ST INC
- **Other names:** Willowbrook Mental Health Support Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841417409
- **Legal business name:** FRONT ST INC
- **Authorized official:** ANN M. BUTLER (CEO AND OWNER)
- **Authorized official phone:** (831) 420-0120

## Contact information

- **Practice address:** 155 WILLOWBROOK DR, BEN LOMOND, CA 95005-9714
- **Practice address phone:** (831) 420-0120
- **Practice address fax:** (831) 420-0136
- **Mailing address:** 2115 7TH AVE, SANTA CRUZ, CA 95062-1663
- **Mailing address phone:** (831) 420-0120
- **Mailing address fax:** (831) 420-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | CA | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 44AZ | MEDI-CAL PRV NBR | CA |