Southwestern State Hospital

NPI #1376645796 in Thomasville, Georgia

Provider Information

NPI Number
1376645796
Entity Type
Organization
Organization Name
Southwestern State Hospital
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Sep 5, 2006
Last Updated
Aug 18, 2009

Practice Location

Address
307 CLOVERDALE DR
Address 2
INTENSIVE TREATMENT RESIDENCE PROGRAM
State
Georgia
ZIP Code
31792-4018
Phone
(229) 227-2977

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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