OrganizationActive
Frontier Health
NPI 1053476333 · Substance Abuse Rehabilitation Facility · Johnson City, TN
Provider details
- NPI number
- 1053476333
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cristi Blalock, Director of Contracting/Reg. Comp.(423) 467-3741
Specialties & taxonomies
Residential Treatment Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Practice location
208 E Unaka Ave
Johnson City, TN 37601-4626
Phone: (423) 906-0940
Fax: (423) 467-3644
Approximate (ZIP-level) locationGet directions
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Other names (DBA / former)
- Doing business as
- Magnolia Ridge
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.