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Organization
BARIUM SPRINGS HOME FOR CHILDREN KULYNYCH COTTAGE
Active
Organization
BARIUM SPRINGS HOME FOR CHILDREN KULYNYCH COTTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KOPPELMEYER MSW (PRESIDENT/CEO)
(704) 872-4157
Entity
Organization
Contact information
Practice address
517 BOSTON AVENUE, WILKESBORO, NC 28659
(336) 667-5095
(336) 927-6541
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 872-4157
(704) 924-7683
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
NOT YET ASSIGNED
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NOT YET ASSIGNED
—
NC
Enumeration date
10/04/2010
Last updated
10/04/2010
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