Organization
BARIUM SPRINGS
Active
Other names
Children's Hope Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE INEZ DOMINGUEZ (PRESIDENT/CEO)
(704) 873-2211
Entity
Organization
Contact information
Practice address
4344 S NC HIGHWAY 150 STE D, LEXINGTON, NC 27295
(336) 880-1855
(336) 553-9175
Mailing address
194 BARIUM SPRINGS DR, STATESVILLE, NC 28677-8453
(048) 322-2007
(704) 838-1541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
02/08/2023
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