| NPI | 1922590009 |
|---|---|
| Doing Business As | BRENTWOOD SPRINGS DETOX |
| Entity Type | Organization |
| Authorized Contact | HAROLD CONNELL D CONNELL Manage Care Advisor 662-209-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TN L000000022121) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-06-23 |