| NPI | 1063644383 |
|---|---|
| Doing Business As | BRENTWOOD OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JODI LYNN BURNS Office Manager 318-222-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |