Organization · Type 2 NPI

Southwestern State Hospital

Mental Illness Community Based Residential Treatment Facility · Thomasville, GA

NPI number 1376645796 Active

Practice location

307 Cloverdale Dr, Intensive Treatment Residence Program
Thomasville, GA 31792-4018

Call (229) 227-2977 Map

Fax (229) 227-2955

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X58-1130678 (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 1376645796

Southwestern State Hospital's National Provider Identifier is 1376645796, issued on Sep 5, 2006. 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.