| Barium Springs Freedom Academy | |
|
2776 Yellow Banks Rd North Wilkesboro NC 28659-8861 | |
| (336) 667-1121 | |
| (336) 696-4183 |
| Full Name | Barium Springs Freedom Academy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2776 Yellow Banks Rd, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Celeste I Reed (VICE PRESIDENT) |
| Authorized Official Contact | 7048802316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barium Springs Freedom Academy Po Box 1 Barium Springs NC 28010-0001 Ph: (704) 873-1011 | Barium Springs Freedom Academy 2776 Yellow Banks Rd North Wilkesboro NC 28659-8861 Ph: (336) 667-1121 |
| NPI Number | 1043531445 |
|---|---|
| Provider Enumeration Date | 06/20/2010 |
| Last Update Date | 06/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043531445 | NPI | - | NPPES |
| MHL 097 063 | Other | NC | DHSR LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL 097 063 (North Carolina) | Primary |
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