| NPI | 1164588570 |
|---|---|
| Other Name | FRONTIER HEALTH (FOR CONTRACTED SERVICES) |
| Entity Type | Organization |
| Authorized Contact | SANDRA O'DELL Executive Director 276-679-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 315-07-004) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 315-07-004) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 315-07-004) | |
| 251B00000X Case Management (Licence: VA 315-06-001) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-06-15 |