NPI 1376645796

Southwestern State Hospital

Organisation Mental Illness Community Based Residential Treatment Facility Thomasville, GA

Practice location

Address: 307 Cloverdale Dr Intensive Treatment Residence Program, Thomasville, GA 31792-4018
Phone: (229) 227-2977
Fax: (229) 227-2955
Mailing address: PO Box 1378 Patient Billing Dept, Thomasville, GA 31799-1378

Authorised official

Name: Hilary J Hoo-You
Title: Regional Hospital Administrator
Phone: (229) 227-3021

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 58-1130678 (GA)

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

Registry record

NPI: 1376645796
Entity type: Organization
NPI issued: 5 Sep 2006
Record last updated: 18 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.