| Upper East Tn Regional Juvenile Detention Center | |
|
307 Wesley St Johnson City TN 37601-1721 | |
| (423) 282-2118 | |
| (423) 282-9669 |
| Full Name | Upper East Tn Regional Juvenile Detention Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 307 Wesley St, Johnson City, Tennessee |
| Authorized Official Name and Position | Ralph Sparks (ADMIN) |
| Authorized Official Contact | 4232822118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upper East Tn Regional Juvenile Detention Center 307 Wesley St Johnson City TN 37601-1721 Ph: (423) 282-2118 | Upper East Tn Regional Juvenile Detention Center 307 Wesley St Johnson City TN 37601-1721 Ph: (423) 282-2118 |
| NPI Number | 1326147331 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326147331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Papillon Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 Phone: 423-529-0385 Fax: 423-414-2699 | |
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