Organization · Type 2 NPI

Southwestern State Hospital Community Services

Mental Illness Community Based Residential Treatment Facility · Thomasville, GA

NPI number 1013044841 Active

Practice location

400 S Pinetree Blvd, Business Office - Patient Billing Dept
Thomasville, GA 31792-7128

Call (229) 227-2977 Map

Fax (229) 227-2955

Mailing address

PO Box 1378, Business Office - Patient Billing Dept
Thomasville, GA 31799-1378

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X581130678 (GA)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X581130678 (GA)
Children's Substance Abuse Rehabilitation Facility 3245S0500X581130678 (GA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1013044841

Southwestern State Hospital Community Services's National Provider Identifier is 1013044841, issued on Feb 28, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Thomasville, GA. The record was last updated on Aug 21, 2009.