Frontier Health

NPI #1699101618 in Gray, Tennessee

Provider Information

NPI Number: 1699101618
Entity Type: Organization
Organization Name: Frontier Health
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 23, 2013
Last Updated: Oct 4, 2018

Practice Location

Address: 1167 SPRATLIN PARK DR
City: Gray
State: Tennessee
ZIP Code: 37615-6205
Phone: (423) 467-3600

Authorized Official

Name: ROBIN D DENTON, BSOM
Title: UM COORDINATIOR
Phone: (423) 467-3721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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