Organization
BARIUM SPRINGS FREEDOM ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CELESTE I REED MA CHC (VICE PRESIDENT)
(704) 880-2316
Entity
Organization
Contact information
Practice address
2776 YELLOW BANKS RD, NORTH WILKESBORO, NC 28659-8861
(336) 667-1121
(336) 696-4183
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 924-7683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 097 063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL 097 063
DHSR LICENSE
NC
Enumeration date
06/20/2010
Last updated
06/20/2010
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