Willow Creek Adolescent Substance Abuse Program
Addiction (Substance Use Disorder) Counselor in Ellijay, GA(View on Map)
Legal Business Name
Willow Creek Adolescent Substance Abuse Program
NPI Number
1114174331
NPI Type
Organization
Enumeration Date
08/19/2008
Specialties
(Taxonomies)Licenses
State
Georgia
License Number
LPC003706
Contact
Information
Purpose
Mailing
Location
Address
10 KIKER ST
10 KIKER ST
City
Ellijay
Ellijay
State
GA
GA
Postal Code
30540-3700
30540-3700
Country
US
US
Telephone Number
(706) 636-2692
(706) 636-2692
Authorized Official
Name
Mr. Larry Hooks
Title or Position
CEO AND DIRECTOR
Telephone Number
(706) 636-2692
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/19/2008