NPI | 1700941721 |
---|---|
Doing Business As | FRONTIER INDUSTRIES KINGSPORT |
Entity Type | Organization |
Authorized Contact | KRISTIE HAMMONDS President And CEO 423-467-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TN L 3(20)24M3-076-1414) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L 3(20)24M3-076-1414) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-01-10 |