Organization · Type 2 NPI
East Tennessee Healthcare Holdings Inc
Substance Use Disorder Rehabilitation Clinic/Center · Gray, TN
NPI number
1033624853
Active
Practice location
203 Gray Commons Cir Ste 110
Gray, TN 37615-5407
Fax (423) 467-9656
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
4 other providers at this address
- Anna Maria Arroyo Santiago, MDAddiction Medicine (Internal Medicine) Physician Johnson City, TN NPI 1861602906
- Ashley Bynum, MA, LPC-MHSPProfessional Counselor Johnson City, TN NPI 1861270571
- Leah G. Ennis, LPC-MHSPProfessional Counselor Johnson City, TN NPI 1275300550
- Robert Eugene Wilson, PMHNPPsychiatric/Mental Health Nurse Practitioner Johnson City, TN NPI 1437908308
About NPI 1033624853
East Tennessee Healthcare Holdings Inc's National Provider Identifier is 1033624853, issued on Dec 4, 2017. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Gray, TN. The record was last updated on Apr 17, 2024.