Organization
FRONTIER HEALTH
Active
Other names
COMMUNITY CONNECTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK BS (DIRECTOR CONTRACTING/COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
43 CHAMPIONS AVE, BIG STONE GAP, VA 24219-1105
(276) 245-5001
(276) 245-5002
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
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/29/2024
Last updated
01/27/2025
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