OrganizationActive
Upper East Tn Regional Juvenile Detention Center
NPI 1326147331 · Adolescent and Children Mental Health Clinic/Center · Johnson City, TN
Provider details
- NPI number
- 1326147331
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ralph Sparks, Admin(423) 282-2118
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
307 Wesley St
Johnson City, TN 37601-1721
Phone: (423) 282-2118
Fax: (423) 282-9669
Approximate (ZIP-level) locationGet directions
Mailing address
307 Wesley St
Johnson City, TN 37601-1721
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.