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Organization
FRONTIER HEALTH
Active
Organization
FRONTIER HEALTH
Active
Other names
Bristol Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K BOWEN MED (SR. VP OF OPERATIONS)
(423) 467-3600
Entity
Organization
Contact information
Practice address
1145 VOLUNTEER PKWY, BRISTOL, TN 37620-4652
(423) 989-4500
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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