| NPI | 1770665838 |
|---|---|
| Other Name | SOUTHWESTERN STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | HILARY J HOO-YOU Regional Hospital Administrator 229-227-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 136-01-076-1) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-08-19 |