NPI | 1649336173 |
---|---|
Doing Business As | WISE COUNTY BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | CRISTI LYNN BLALOCK Director Of Contracting/ Compliance 423-467-3741 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 315-07-004) |
Additional Taxonomies | 251B00000X Case Management (Licence: VA 315-16-001) |
251S00000X (Licence: VA 315-07-004) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 315-07-004) | |
385H00000X Respite Care (Licence: VA 315-03-001) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2024-11-26 |