Organization
FAIRVIEW HOUSING MANAGEMENT CORP
Active
Other names
Bristol Lifestyle Recovery, Mended Women Lifestyle Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JENNINGS GARRETT (PRESIDENT)
(423) 612-2995
Entity
Organization
Contact information
Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
Mailing address
PO BOX 5746, JOHNSON CITY, TN 37602-5746
(423) 612-2995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LI0000000004235
TN
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
09/19/2023
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