Organization
FRONTIER HEALTH
Active
Other names
Midland Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK MBA (DIRECTOR CONTRACTING/REG COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
1324 MIDLAND DR, KINGSPORT, TN 37664-3044
(423) 830-2564
(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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/19/2025
Last updated
09/22/2025
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