Organization
FRONTIER HEALTH
Active
Other names
Hawthorne Place
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK BS (DIRECTOR OF CONT/COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
HAWTHORNE PLACE, 500 HAWTHORNE DRIVE, NE, NORTON, VA 24273
(276) 679-5751
(276) 679-1576
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
10/30/2024
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