Provider Demographics
NPI:1104004936
Name:BRUNSWICK COUNTY SPECIAL NEEDS INC
Entity Type:Organization
Organization Name:BRUNSWICK COUNTY SPECIAL NEEDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-341-2014
Mailing Address - Street 1:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:OAK ISLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28465-9820
Mailing Address - Country:US
Mailing Address - Phone:910-540-4793
Mailing Address - Fax:910-278-7721
Practice Address - Street 1:113 NE 39TH ST
Practice Address - Street 2:
Practice Address - City:OAK ISLAND
Practice Address - State:NC
Practice Address - Zip Code:28465-5638
Practice Address - Country:US
Practice Address - Phone:242-341-2014
Practice Address - Fax:910-278-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services