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Frontier Health — NPI 1801018387, Bristol, TN | NPI Central

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NPI 1801018387

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Frontier Health

NPI 1801018387 · Mental Illness Community Based Residential Treatment Facility · Bristol, TN

Provider details

NPI number: 1801018387
Entity type: Organization
Primary specialty: Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
Parent organization: Frontier Health
Organization subpart: Yes
Authorized official: Teresa Kidd, President/Ceo(423) 467-3600
License: L 324-076-1424 (TN)

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 20647 (TN)
Residential Treatment Facilities
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense L 324-076-1424 (TN)
Residential Treatment Facilities
Psychiatric Residential Treatment Facility323P00000XLicense L324-076-1424 (TN)
Residential Treatment Facilities

Practice location

4121 Old Jonesboro Rd

Bristol, TN 37620-5342

Phone: (423) 652-7378

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

Po Box 9054

Gray, TN 37615-9054

Other names (DBA / former)

Doing business as: R. Grant Widner Group Home
Doing business as: R. Grant Widner Group Home

Registry dates

Enumerated: 2007-05-03
Last updated: 2018-10-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.