NPI 1053476333

Frontier Health

Organisation Substance Abuse Rehabilitation Facility Johnson City, TN

Practice location

Address: 208 E Unaka Ave, Johnson City, TN 37601-4626
Phone: (423) 906-0940
Fax: (423) 467-3644
Mailing address: 1167 Spratlin Park Dr, Gray, TN 37615-6205

Authorised official

Name: Cristi Lynn Blalock
Title: Director of Contracting/Reg. Comp.
Phone: (423) 467-3741

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 430 (TN)

Other Substance Abuse Rehabilitation Facility providers in Tennessee →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Tennessee →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Tennessee →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X

Other Nurse Practitioner providers in Tennessee →

Registry record

NPI: 1053476333
Entity type: Organization
NPI issued: 27 Dec 2006
Record last updated: 13 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.