Department of Behavioral Health & Developmental Disabilities

NPI #1003049057 in Thomasville, Georgia

Provider Information

NPI Number
1003049057
Entity Type
Organization
Organization Name
Department of Behavioral Health & Developmental Disabilities
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 25, 2009
Last Updated
Aug 25, 2009

Practice Location

Address
213 MARTIN LUKE KING DRIVE
Address 2
COMMUNITY MEDICAID WAIVER HOME
State
Georgia
ZIP Code
31792-6320
Phone
(229) 227-2977

Authorized Official

Name
MRS. HILARY J HOO-YOU
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(229) 227-3020

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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