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
35 N MAIN ST, PATIENT BILLING DEPT, MOULTRIE, GA 31768-3861
(229) 227-2977
(229) 227-2955
Mailing address
400 S PINETREE BLVD, THOMASVILLE, GA 31792-7128
(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
—
00877236F
—
GA
Enumeration date
11/30/2006
Last updated
08/18/2009
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