OrganizationActive
Frontier Health
NPI 1073735643 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bristol, TN
Provider details
- NPI number
- 1073735643
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Kristie Hammonds, President and Ceo
- License
- L 324-076-1411 (TN)
Mailing address
Po Box 9054
Gray, TN 37615-9054
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.