Frontier Health

NPI #1801018387 in Bristol, Tennessee

Provider Information

NPI Number: 1801018387
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, Mental Illness
Enumeration Date: May 3, 2007
Last Updated: Oct 5, 2018

Practice Location

Address: 4121 OLD JONESBORO RD
City: Bristol
State: Tennessee
ZIP Code: 37620-5342
Phone: (423) 652-7378

Authorized Official

Name: MS. TERESA M KIDD, PHD
Title: PRESIDENT/CEO
Phone: (423) 467-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Psychiatric Residential Treatment Facility	323P00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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