Organization
FRONTIER BEHAVIORAL HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOIN HANA MD (OWNER)
(606) 349-7475
Entity
Organization
Contact information
Practice address
838 E MOUNTAIN PKWY, SALYERSVILLE, KY 41465-8378
(606) 349-7475
(606) 349-7476
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 349-7475
(606) 349-7476
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
800225
KY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100439840
—
KY
05
—
7100775640
—
KY
Enumeration date
10/26/2016
Last updated
10/22/2021
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