Southwestern State Hospital

NPI #1285627448 in Thomasville, Georgia

Provider Information

NPI Number
1285627448
Entity Type
Organization
Organization Name
Southwestern State Hospital
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Aug 23, 2005
Last Updated
Aug 18, 2009

Practice Location

Address
210 LOOMIS STREET
Address 2
INTEGRATION HOME
State
Georgia
ZIP Code
31792
Phone
(229) 227-3004

Authorized Official

Name
MRS. HILARY J HOO-YOU
Title
REGIONAL HOSPITAL ADMINISTRATOR
Phone
(229) 227-3021

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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