Organization
BARIUM SPRINGS HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KOPPELMEYER (PRESIDENT)
(704) 872-4157
Entity
Organization
Contact information
Practice address
1249 NORTH SOUTH STREET, NO 100, MOUNT AIRY, NC 27030-3850
(336) 719-0030
(704) 832-2253
Mailing address
PO BOX 1, BARIUM SPRINGS, NC 28010-0001
(704) 873-1011
(704) 832-2253
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL086041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301444
—
NC
Enumeration date
03/22/2007
Last updated
03/10/2011
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