NPI 1013044841

Southwestern State Hospital Community Services

Organisation Mental Illness Community Based Residential Treatment Facility Thomasville, GA

Practice location

Address: 400 S Pinetree Blvd Business Office - Patient Billing Dept, Thomasville, GA 31792-7128
Phone: (229) 227-2977
Fax: (229) 227-2955
Mailing address: PO Box 1378 Business Office - Patient Billing Dept, Thomasville, GA 31799-1378

Authorised official

Name: Hilary J Hoo-You
Title: Regional Hospital Administrator
Phone: (229) 227-3020

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 581130678 (GA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Georgia →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 581130678 (GA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Children's Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 3245S0500X Licence 581130678 (GA)

Other Substance Abuse Rehabilitation Facility providers in Georgia →

Registry record

NPI: 1013044841
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 21 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.