| NPI | 1134282551 |
|---|---|
| Doing Business As | FAIRVIEW ASSOCIATES OF JOHNSON CITY |
| Entity Type | Organization |
| Authorized Contact | TERESA M KIDD President And CEO 423-467-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TN L-214-076-1412) |
| Additional Taxonomies | 261QM0801X (Licence: TN L-214-076-1412) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TN 319) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-10-04 |