Organization · Type 2 NPI
Frontier Health
Mental Illness Community Based Residential Treatment Facility · Kingsport, TN
NPI number
1265597280
Active
Practice location
2221 Memorial Ct
Kingsport, TN 37664-3339
Fax (423) 467-3644
Mailing address
PO Box 9054
Gray, TN 37615-9054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | L 219-076-1426 (TN) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1265597280
Frontier Health's National Provider Identifier is 1265597280, issued on Dec 27, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 22, 2020.