OrganizationActive
Frontier Health
NPI 1417197153 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Johnson City, TN
Provider details
- NPI number
- 1417197153
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Frontier Health
- Organization subpart
- Yes
- Authorized official
- E. Varney, President & Ceo(423) 467-3600
- License
- L000000002500 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense L000000002500 (TN)
Residential Treatment Facilities
Practice location
1113 King Springs Rd
Johnson City, TN 37601-5009
Phone: (423) 928-4802
Fax: (423) 467-3644
Approximate (ZIP-level) locationGet directions
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Other names (DBA / former)
- Other name
- Spring House
Registry dates
- Enumerated
- 2009-02-20
- Last updated
- 2009-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.