Whalio Doctors

NPI 1841635562

Frontier Health

Organisation Psychiatric Residential Treatment Facility Johnson City, TN

Practice location

Address
208 Quary Rd, Johnson City, TN 37601-7580
Phone
(423) 232-7234
Fax
(423) 467-3644
Mailing address
1167 Spratlin Park Dr, Gray, TN 37615-6205

Authorised official

Name
Kristie Hammonds
Title
President & Ceo
Phone
(423) 467-3600

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence I000000012507 (TN)

Registry record

NPI
1841635562
Entity type
Organization
NPI issued
8 May 2013
Record last updated
10 Jan 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.