Barium Springs Home For Children
Residential Treatment Facility, Emotionally Disturbed Children in Statesville, NC. Organization (NPI-2).
NPI number1265478366
StatusActive
Last updated in NPPESAug 18, 2009
Details
- NPI
- 1265478366
- Entity type
- Organization (NPI-2)
- Legal business name
- Barium Springs Home For Children
- Organization subpart
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Aug 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-049-075 | NC | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-099-004 | NC | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-049-086 | NC | |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-049-087 | NC | |
| 251S00000X | Community/Behavioral Health | MHL-086-041 | NC | |
| 251S00000X | Community/Behavioral Health | MHL-049-090 | NC | |
| 251S00000X | Community/Behavioral Health | MHL-049-104 | NC | |
| 251S00000X | Community/Behavioral Health | MHL-099-017 | NC | |
| 251S00000X | Community/Behavioral Health | MHL-049-085 | NC | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TF0000X | Psychologist, Family | – | – | |
| 251S00000X | Community/Behavioral Health | – | NC |
Practice location
156 Frazier LoopStatesville, NC 28677
Phone 704-872-4157 · Fax 704-838-1541
Mailing address
Po Box 1Barium Springs, NC 28010-0001
Phone 704-872-4157 · Fax 704-838-1541
Authorized official
John Koppelmeyer
President
7048724157
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