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INTENSIVE TREATMENT RESIDENCE PROGRAM
NPI 1912009341
Community Based Residential Treatment Facility, Mental Illness in Thomasville, GA

Active since September 05, 2006
105 BERMUDA STREET, PATIENT BILLING DEPT., THOMASVILLE, GA 31792(229) 227-2997(229) 227-2955 Get Directions Write a Review

NPPES record last updated: August 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intensive Treatment Residence Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTENSIVE TREATMENT RESIDENCE PROGRAM (NPI 1912009341) is a healthcare organization registered as a community based residential treatment facility, mental illness in Thomasville, Georgia and active in the NPI registry since September 2006. The organization lists Hilary J Hoo-you, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1912009341
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSOUTHWESTERN STATE HOSPITAL
Location Address105 BERMUDA STREET, PATIENT BILLING DEPT.Thomasville, GA 31792-4018
Mailing AddressP. O. Box 1378, Patient Billing DeptThomasville, GA 31792-4018 · (229) 227-2977 · Fax (229) 227-2955
Phone(229) 227-2997
Fax(229) 227-2955
Organization SubpartNo
Authorized OfficialHilary J Hoo-youRegional Hospital Administrator · (229) 227-3021
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 18, 2009
✔ NPI 1912009341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in GA · 581130678
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
105 BERMUDA STREET, Thomasville, GA 31792
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Other Names 1

Doing Business AsIntensive Treatment Residence Program

Other Identifiers 1

Medicaid252378193BGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwestern State Hospital's NPI number?

The NPI number for Southwestern State Hospital is 1912009341. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Intensive Treatment Residence Program.

Where is Southwestern State Hospital located?

Southwestern State Hospital is located at 105 Bermuda Street Patient Billing Dept., Thomasville, GA 31792. The listed phone number is (229) 227-2997.

What is Southwestern State Hospital's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Southwestern State Hospital was last updated on August 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.