Organization · Type 2 NPI

Frontier Health

Substance Abuse Rehabilitation Facility · Johnson City, TN

NPI number 1053476333 Active

Practice location

208 E Unaka Ave
Johnson City, TN 37601-4626

Call (423) 906-0940 Map

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychiatry Physician 2084P0800XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000X430 (TN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

9 other providers at this address

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About NPI 1053476333

Frontier Health's National Provider Identifier is 1053476333, issued on Dec 27, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 13, 2025.