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Organization

SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN P FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization

Contact information

Practice address
110 OLD CONCORD RD, PROSPERITY, PA 15329-1422
(724) 257-2290
(724) 884-0377
Mailing address
4020 ASPEN GROVE DR STE 900, FRANKLIN, TN 37067-3134
(615) 861-6000

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
422840
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026
HIGHMARK BLUE CROSS BLUE SHIELD
01
0130118001
WV MEDICAL ASSISTANCE
WV
05
100778710
PA
01
7792783
AETNA BEHAVIORAL HEALTH
PA
Enumeration date
02/23/2010
Last updated
01/20/2026
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