| NPI | 1588816789 |
|---|---|
| Doing Business As | BRENTON HOUSE |
| Entity Type | Organization |
| Authorized Contact | GINGER GAYLE GORE CEO 910-641-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NC MHL024074) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |