Organization · Type 2 NPI

Southwestern State Hospital

Mental Illness Community Based Residential Treatment Facility · Thomasville, GA

NPI number 1912009341 Active

Practice location

105 Bermuda Street, Patient Billing Dept.
Thomasville, GA 31792-4018

Fax (229) 227-2955

Mailing address

P. O. Box 1378, Patient Billing Dept
Thomasville, GA 31792-4018

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X581130678 (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 1912009341

Southwestern State Hospital's National Provider Identifier is 1912009341, 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.