Organization
SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC
Active
Other names
PRO site RTFs
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P FARLEY (VICE PRESIDENT AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
130 OLD CONCORD RD, PROSPERITY, PA 15329-1422
(724) 222-7486
(724) 222-6709
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
402870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026
BLUE CROSS RTF
PA
05
—
0130118001
—
WV
01
—
040679
VALUE PROVIDER #
PA
01
—
040679A324172
VBH PA PRO RTFS
PA
01
—
1007787100011
CCBHO PRO RTFS
PA
05
—
1007787100011
—
PA
01
—
4290243
AETNA PRO RTFS
PA
Enumeration date
10/20/2006
Last updated
01/20/2026
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