Organization · Type 2 NPI
Frontier Health
Mental Illness Community Based Residential Treatment Facility · Johnson City, TN
NPI number
1265632392
Active
Practice location
516 Swadley Rd
Johnson City, TN 37601-9000
Fax (423) 232-2752
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 219-076-1421 (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 1265632392
Frontier Health's National Provider Identifier is 1265632392, issued on Jul 18, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 18, 2007.