Willow Creek Adolescent Substance Abuse Program

LBN: Willow Creek Adolescent Substance Abuse Program
Willow Creek Adolescent Substance Abuse Program is an health care organization with primary practice located at 10 Kiker St , Ellijay GA 30540-3700. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Willow Creek Adolescent Substance Abuse Program can be contacted via phone (706) 636-2692, or through Hooks, Larry W via phone (706) 636-2692.

Contact Information

Primary practice address
10 Kiker St Ellijay GA 30540-3700
Phone: (706) 636-2692
Fax: (706) 636-2694
Website:
Map and Directions
Authorized official contact:
Name: Hooks, Larry W
Phone: (706) 636-2692

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC003706 Georgia

Profile Details

NPI number 1114174331
LBN Legal business name Willow Creek Adolescent Substance Abuse Program
DBA Doing business as
Authorized official Hooks, Larry W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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