WILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM

ELLIJAY, GA
NPI1114174331
Entity TypeOrganization
Authorized ContactLARRY W HOOKS
CEO And Director
706-636-2692
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  LPC003706)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
WILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM
10 KIKER ST
ELLIJAY, GA 30540-3700
Phone number: 706-636-2692
Mailing Address
WILLOW CREEK ADOLESCENT SUBSTANCE ABUSE PROGRAM
10 KIKER ST
ELLIJAY, GA 30540-3700
Phone number: 706-636-2692