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Frontier Health
Substance Use Disorder Rehabilitation Clinic/Center in Bristol, Tennessee
NPI 1013078716

Frontier Health is a Substance Use Disorder Rehabilitation Clinic/Center based in Gray, TN and is specialized in Rehabilitation, Substance Use Disorder. Frontier Health practices in Bristol, TN. The NPI Number for Frontier Health is 1013078716 and holds a License No. L-214-076-1406 (Tennessee).

The current practice location address for Frontier Health is 26 Midway St, Bristol, TN and can be reached out via phone at 423-989-4500 and via fax at 423-989-4582.

Location: 26 Midway St, Bristol, TN, 37615-9054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013078716
Provider Name
Frontier Health
Credential
Provider Entity Type
Organization
Address
26 Midway St, Bristol, TN, 37615-9054
Phone Number
423-989-4500
Fax Number
423-989-4582
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49-4915-3 05 VA
institution
Provider Business Practice Location Address Details
Address
26 Midway St
City
Bristol
State
Tennessee
Zip
37620-1706
Phone Number
423-989-4500
Fax Number
423-989-4582
person
Provider Business Mailing Address Details
Address
26 Midway St
City
Bristol
State
Tennessee
Zip
37620-1706
Phone Number
423-989-4500
Fax Number
423-989-4582
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
361 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
L-214-076-1406 (Tennessee)
Definition
Definition to come...
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