Organization
FRONTIER HEALTH
Active
Other names
Wise County Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK BS (DIRECTOR OF CONTRACTING/ COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
295 WHARTON LANE, NORTON, VA 24273-1541
(276) 523-8300
(276) 523-6964
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
315-16-001
VA
251S00000X
Community/Behavioral Health Agency
315-07-004
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
315-07-004
VA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
315-07-004
VA
385H00000X
Respite Care
315-03-001
VA
Other
Enumeration date
12/29/2006
Last updated
11/26/2024
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