25D0966550 CLIA NUMBER - BRENTWOOD BEHAVIORAL HEALTHCARE OF MS

Laboratory Demographics

CLIA Number: 25D0966550

Facility Name: BRENTWOOD BEHAVIORAL HEALTHCARE OF MS

Facility Address:
3531 LAKELAND DRIVE
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 936-2024

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1487638441

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	25D0966550
LAB Type	Hospital
Facility Name	BRENTWOOD BEHAVIORAL HEALTHCARE OF MS
Street	3531 LAKELAND DRIVE
City	FLOWOOD
State	MS
ZIP	39232
Phone	601 936-2024
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024