Organization
SOUTHWESTERN STATE HOSPITAL
Active
Other names
Crisis Stabilization 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
400 S PINETREE BLVD, CRISIS STABILIZATION PROGRAM, THOMASVILLE, GA 31792-7128
(229) 227-3004
(229) 227-2663
Mailing address
PO BOX 1378, PATIENT BILLING DEPT, THOMASVILLE, GA 31799-1378
(229) 227-2977
(227) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00877236L
—
GA
Enumeration date
08/23/2005
Last updated
07/21/2022
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