Organization
BRENTWOOD SPRINGS DETOX
Active
Other names
Brentwood Springs Detox
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD CONNELL D CONNELL (MANAGE CARE ADVISOR)
(662) 209-5458
Entity
Organization
Contact information
Practice address
5935 EDMONDSON PIKE, NASHVILLE, TN 37211
(662) 209-5458
Mailing address
5935 EDMONDSON PIKE, NASHVILLE, TN 37211-6703
(662) 209-5458
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
L000000022121
TN
Other
Enumeration date
06/04/2018
Last updated
06/23/2020
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