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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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