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Organization

SOUTHWOOD PSYCHIATRIC HOSPITAL, LLC

Active
Other names
Promise House RTF
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
13 LEMON HILL RD, PROSPERITY, PA 15329-1425
(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
400910
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026
BLUE CROSS RTF
PA
01
040679
VALUE PROVIDER #
PA
01
040679A953333
VBH PROMISE HOUSE RTF
PA
01
1007787100023
CCBHO PROMISE HOUSE RTF
PA
05
1007787100023
PA
01
4290243
AETNA PROMISE HOUSE RTF
PA
Enumeration date
10/26/2006
Last updated
01/20/2026
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