Organization
FRONTIER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN D DENTON BSOM (UM COORDINATIOR)
(423) 467-3721
Entity
Organization
Contact information
Practice address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
10/04/2018
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