Etsu Behavioral Health and Wellness Clinic
NPI #1073872776 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1073872776
- Entity Type
- Organization
- Organization Name
- Etsu Behavioral Health and Wellness Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EAST TENNESSEE STATE UNIVERSITY
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 15, 2012
- Last Updated
- May 15, 2012
Practice Location
- Address
- 807 UNIVERSITY PKWY
- Address 2
- 139 LUCILLE CLEMENT HALL
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37614-6500
- Phone
- (423) 439-7777
Authorized Official
- Name
- DR. KERRY L. HOLLAND, PH.D.
- Title
- CLINIC DIRECTOR
- Phone
- (423) 439-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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