Organization · Type 2 NPI

Etsu Behavioral Health and Wellness Clinic

Community/Behavioral Health Agency · Johnson City, TN

NPI number 1073872776 Active

Practice location

807 University Pkwy, 139 Lucille Clement Hall
Johnson City, TN 37614-6500

Fax (423) 439-7780

Mailing address

807 University Parkway, Campus Box 70416, 139 Lucille Clement Hall
Johnson City, TN 37614

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X9378 (TN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

18 other providers at this address

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About NPI 1073872776

Etsu Behavioral Health and Wellness Clinic's National Provider Identifier is 1073872776, issued on May 15, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Johnson City, TN. The record was last updated on May 15, 2012.