Organization
FRONTIER HEALTH
Active
Other names
Virginia's Place
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK MBA (DIRECTOR OF CONTRACTING/ COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
900 BUFFALO ST, JOHNSON CITY, TN 37604-6720
(423) 461-7750
(423) 467-3644
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
06/05/2025
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