Frontier Health

NPI #1417197153 in Johnson City, Tennessee

Provider Information

NPI Number
1417197153
Entity Type
Organization
Organization Name
Frontier Health
Subpart
Yes (part of a larger organization)
Parent Organization
FRONTIER HEALTH
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 20, 2009
Last Updated
Feb 20, 2009

Practice Location

Address
1113 KING SPRINGS RD
ZIP Code
37601-5009
Phone
(423) 928-4802

Authorized Official

Name
MR. E. DOUGLAS VARNEY
Title
PRESIDENT & CEO
Phone
(423) 467-3600

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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