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Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KOPPELMEYER (PRESIDENT)
(704) 872-4157
Entity
Organization
Contact information
Practice address
156 FRAZIER LOOP, STATESVILLE, NC 28677
(704) 872-4157
(704) 838-1541
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 872-4157
(704) 838-1541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TF0000X
Family Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
MHL-049-085
NC
251S00000X
Community/Behavioral Health Agency
MHL-049-090
NC
251S00000X
Community/Behavioral Health Agency
MHL-049-104
NC
251S00000X
Community/Behavioral Health Agency
MHL-086-041
NC
251S00000X
Community/Behavioral Health Agency
MHL-099-017
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-049-075
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-049-086
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-049-087
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-099-004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300723
—
NC
Enumeration date
06/20/2006
Last updated
08/18/2009
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