NPI | 1922164599 |
---|---|
Doing Business As | FRONTIER INDUSTRIES BRISTOL |
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 (20)24M6-076-1413) |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TN L (20)24M6-076-1413) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2021-07-14 |