Organization
SOUTHWESTERN STATE HOSPITAL COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILARY J HOO-YOU (REGIONAL HOSPITAL ADMINISTRATOR)
(229) 227-3020
Entity
Organization
Contact information
Practice address
400 S PINETREE BLVD, BUSINESS OFFICE - PATIENT BILLING DEPT, THOMASVILLE, GA 31792-7128
(229) 227-2977
(229) 227-2955
Mailing address
PO BOX 1378, BUSINESS OFFICE - PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-2977
(229) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
581130678
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
581130678
GA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
581130678
GA
Other
Enumeration date
02/28/2007
Last updated
08/21/2009
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