Provider Demographics
NPI:1225158793
Name:BRUNSWICK COUNTY SCHOOLS
Entity Type:Organization
Organization Name:BRUNSWICK COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCEPTIONAL CHILDREN DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GUPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-253-2900
Mailing Address - Street 1:35 REFERENDUM DR NE
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-7578
Mailing Address - Country:US
Mailing Address - Phone:910-253-2900
Mailing Address - Fax:910-253-2962
Practice Address - Street 1:35 REFERENDUM DR NE
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-7578
Practice Address - Country:US
Practice Address - Phone:910-253-2900
Practice Address - Fax:910-253-2962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)