Organization · Type 2 NPI
Frontier Health
Mental Illness Community Based Residential Treatment Facility · Bristol, TN
NPI number
1801018387
Active
Practice location
4121 Old Jonesboro Rd
Bristol, TN 37620-5342
Mailing address
PO Box 9054
Gray, TN 37615-9054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 20647 (TN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | L 324-076-1424 (TN) |
| Psychiatric Residential Treatment Facility | 323P00000X | L324-076-1424 (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.
Another provider at this address
About NPI 1801018387
Frontier Health's National Provider Identifier is 1801018387, issued on May 3, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Bristol, TN. The record was last updated on Oct 5, 2018.