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Organization
FRONTIER HEALTH
Active
Organization
FRONTIER HEALTH
Active
Other names
Wise County Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK BS (DIRECTOR OF CONTRACTING/ COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
295 WHARTON LANE, NORTON, VA 24273-1541
(276) 523-8300
(276) 523-6964
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
315-16-001
VA
251S00000X
Community/Behavioral Health Agency
315-07-004
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
315-07-004
VA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
315-07-004
VA
385H00000X
Respite Care
315-03-001
VA
Other
Enumeration date
12/29/2006
Last updated
11/26/2024
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