Organization · Type 2 NPI

Southwestern State Hospital

Community/Behavioral Health Agency · Tifton, GA

NPI number 1720156508 Active

Practice location

334 Tifton Eldorado Rd
Tifton, GA 31794-9497

Fax (229) 227-2955

Mailing address

400 South Pinetree Blvd. P. O. Box 1378, Patient Billing Dept
Thomasville, GA 31799-1378

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X581130678 (GA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1720156508

Southwestern State Hospital's National Provider Identifier is 1720156508, issued on Dec 1, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tifton, GA. The record was last updated on Aug 18, 2009.