NPI 1265597280

Frontier Health

Organisation Mental Illness Community Based Residential Treatment Facility Kingsport, TN

Practice location

Address: 2221 Memorial CT, Kingsport, TN 37664-3339
Phone: (423) 245-1121
Fax: (423) 467-3644
Mailing address: PO Box 9054, Gray, TN 37615-9054

Authorised official

Name: E Douglas Varney
Title: President and Ceo
Phone: (423) 467-3600

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence L 219-076-1426 (TN)

Other Community Based Residential Treatment Facility, Mental Illness providers in Tennessee →

Registry record

NPI: 1265597280
Entity type: Organization
NPI issued: 27 Dec 2006
Record last updated: 22 Aug 2020

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.