Organization
FRONTIER HEALTH
Active
Parent organization
FRONTIER HEALTH
Other names
Laurel House
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRONTIER HEALTH
Authorized official
MR. E DOUGLAS VARNEY (PRESIDENT AND CEO)
(423) 467-3600
Entity
Organization
Contact information
Practice address
516 SWADLEY RD, JOHNSON CITY, TN 37601-9000
(423) 926-9001
(423) 232-2752
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
L 219-076-1421
TN
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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