| Hawthorne Place | |
|
Hawthorne Place 500 Hawthorne Drive, Ne Norton VA 24273 | |
| (276) 679-5751 | |
| (276) 679-1576 |
| Full Name | Hawthorne Place |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Hawthorne Place, Norton, Virginia |
| Authorized Official Name and Position | Cristi Lynn Blalock (DIRECTOR OF CONT/COMPLIANCE) |
| Authorized Official Contact | 4234673741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Place 1167 Spratlin Park Dr Gray TN 37615-6205 Ph: (423) 467-3600 | Hawthorne Place Hawthorne Place 500 Hawthorne Drive, Ne Norton VA 24273 Ph: (276) 679-5751 |
| NPI Number | 1457022832 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457022832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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