Organization
SOUTHWESTERN STATE HOSPITAL
Active
Other names
Assertive Community Treatment Program
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
334 TIFTON ELDORADO RD, TIFTON, GA 31794-9497
(229) 227-2977
(229) 227-2955
Mailing address
400 SOUTH PINETREE BLVD. P. O. BOX 1378, PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-2977
(229) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
581130678
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00877236H
—
GA
Enumeration date
12/01/2006
Last updated
08/18/2009
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