Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE INEZ DOMINGUEZ (CEO)
(704) 873-2211
Entity
Organization
Contact information
Practice address
138 BARIUM SPRINGS DRIVE, KING - PRTF, STATESVILLE, NC 28677
(704) 873-1011
(704) 924-7683
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 832-2253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404554
—
NC
Enumeration date
05/30/2007
Last updated
07/11/2018
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