Provider Demographics
NPI:1295027969
Name:BARIUM SPRINGS HOME FOR CHILDREN
Entity Type:Organization
Organization Name:BARIUM SPRINGS HOME FOR CHILDREN
Other - Org Name:FRANKLIN MAIN ST MSG
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-873-2211
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NC
Mailing Address - Zip Code:28788-0099
Mailing Address - Country:US
Mailing Address - Phone:828-586-8958
Mailing Address - Fax:828-349-6039
Practice Address - Street 1:33 E MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734
Practice Address - Country:US
Practice Address - Phone:828-524-3833
Practice Address - Fax:828-349-6039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty