Organization
SOUTHWESTERN STATE HOSPITAL
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
1500 GILLIONVILLE RD STE B, ALBANY, GA 31707-3963
(229) 227-2955
(229) 227-2955
Mailing address
400 S PINETREE BLVD, PATIENT BILLING DEPT, THOMASVILLE, GA 31792-7128
(229) 227-2977
(229) 227-2955
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
581130678
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252378193C
—
GA
Enumeration date
03/06/2007
Last updated
08/18/2009
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