Organization
BRENTWOOD ACQUISITION-SHREVEPORT INC.
Active
Other names
Branches of Leesville
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3482
Entity
Organization
Contact information
Practice address
1111 S 5TH ST STE D&E, LEESVILLE, LA 71446-4927
(337) 404-9998
Mailing address
1111 S 5TH ST STE D&E, LEESVILLE, LA 71446-4927
(337) 404-9998
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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