# BRYNN MARR HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brynn Marr Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144207804
- **Authorized official:** STEVE FILTON (VICE PRESIDENT)
- **Authorized official phone:** (610) 768-3482

## Contact information

- **Practice address:** 192 VILLAGE DR, JACKSONVILLE, NC 28546
- **Practice address phone:** (910) 577-1400
- **Practice address fax:** (910) 577-2766
- **Mailing address:** 192 VILLAGE DR, JACKSONVILLE, NC 28546
- **Mailing address phone:** (910) 577-1400
- **Mailing address fax:** (910) 577-2766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2005
- **Last updated:** 01/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001AM | BCBS | NC |
| 05 | — | 3404500 | — | NC |