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Southwestern State Hospital
Community/Behavioral Health Agency in Moultrie, Georgia
NPI 1902974025

Southwestern State Hospital is a Community/Behavioral Health Agency based in Thomasville, GA. Southwestern State Hospital practices in Moultrie, GA. The NPI Number for Southwestern State Hospital is 1902974025 and holds a License No. 581130678 (Georgia).

The current practice location address for Southwestern State Hospital is 35 N Main St, Moultrie, GA and can be reached out via phone at 229-227-2977 and via fax at 229-227-2955.

Location: 35 N Main St, Moultrie, GA, 31792-7128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902974025
Provider Name
Southwestern State Hospital
Credential
Provider Entity Type
Organization
Address
35 N Main St, Moultrie, GA, 31792-7128
Phone Number
229-227-2977
Fax Number
229-227-2955
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00877236F 05 GA
institution
Provider Business Practice Location Address Details
Address
35 N Main St
City
Moultrie
State
Georgia
Zip
31768-3861
Phone Number
229-227-2977
Fax Number
229-227-2955
person
Provider Business Mailing Address Details
Address
35 N Main St
City
Moultrie
State
Georgia
Zip
31768-3861
Phone Number
229-227-2977
Fax Number
229-227-2955
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
581130678 (Georgia)
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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