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Organization
FRONTIER HEALTH
Active
Organization
FRONTIER HEALTH
Active
Other names
Adolescent Drug and Alcohol Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E DOUGLAS VARNEY (PRESIDENT AND CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
26 MIDWAY ST, BRISTOL, TN 37620-1706
(423) 989-4500
(423) 989-4582
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
L-214-076-1406
TN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
361
TN
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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