Opal Cliff Residential Center

LBN: Front St Inc
Opal Cliff Residential Center is an health care organization with primary practice located at 4795 Opal Cliff Dr , Capitola CA 95062-5229. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Front St Inc can be contacted via phone (831) 420-0120, or through Butler, Ann M. via phone (831) 420-0120.

Contact Information

Primary practice address
4795 Opal Cliff Dr Capitola CA 95062-5229
Phone: (831) 420-0120
Fax: (831) 420-0136
Website:
Map and Directions
Authorized official contact:
Name: Butler, Ann M.
Phone: (831) 420-0120

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X California

Profile Details

NPI number 1730306382
LBN Legal business name Front St Inc
DBA Doing business as Opal Cliff Residential Center
Authorized official Butler, Ann M.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2007
Last updated Aug 17th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730306382 NPPES
California Other 4476 MEDI-CAL PRV NBR

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