Organization · Type 2 NPI

Southwestern State Hospital

Mental Illness Community Based Residential Treatment Facility · Thomasville, GA

NPI number 1285627448 Active

Practice location

210 Loomis Street, Integration Home
Thomasville, GA 31792

Fax (227) 227-2663

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X136-01-092-8 (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 1285627448

Southwestern State Hospital's National Provider Identifier is 1285627448, issued on Aug 23, 2005. 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 18, 2009.