| NPI | 1922235050 |
|---|---|
| Doing Business As | SOUTHWESTERN STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | HILARY J HOO-YOU Regional Hospital Administrator 229-227-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-08-21 |