Department of Behavioral Health & Developmental Disabilities

NPI #1770665838 in Thomasville, Georgia

Provider Information

NPI Number
1770665838
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
Oct 19, 2006
Last Updated
Aug 19, 2009

Practice Location

Address
213 N MARTIN LUTHER KING JR DR
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) 227-3021

Specialties & Taxonomy Codes

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

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