Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE INEZ DOMINGUEZ (PRESIDENT/CEO)
(708) 832-2211
Entity
Organization
Contact information
Practice address
517 BOSTON AVE, NORTH WILKESBORO, NC 28659
(336) 667-3333
(336) 667-8749
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 872-4157
(704) 838-1541
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL-097-064
DHSR
NC
Enumeration date
01/26/2011
Last updated
07/03/2018
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