Organization · Type 2 NPI

Frontier Health

Community/Behavioral Health Agency · Bristol, TN

NPI number 1699826735 Active

Practice location

498 Industrial Dr
Bristol, TN 37620-5400

Call (423) 878-1600 Map

Fax (423) 878-1606

Mailing address

PO Box 9054
Gray, TN 37615-9054

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	L 3(20)24M6-076-1413 (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…

7 other providers at this address

NPI record

NPI: 1699826735
Entity type: Organization (Type 2)
Issued: Jan 16, 2007
Last updated: Oct 5, 2018
Status: Active

Other names

<unavail>
Supportive Living - Bristol · doing business as
Supportive Living - Bristol · doing business as

Authorized official

Dr. Teresa M Kidd, PhD
President and CEO
(423) 467-3600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699826735

Frontier Health's National Provider Identifier is 1699826735, issued on Jan 16, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Bristol, TN. The record was last updated on Oct 5, 2018.