Organization · Type 2 NPI
Willow Creek Substance Abuse Program
Substance Use Disorder Rehabilitation Clinic/Center · Ellijay, GA
NPI number
1427290261
Active
Practice location
10 Kiker St
Ellijay, GA 30540-3700
Fax (760) 636-2694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | LPC003706 (GA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1427290261
Willow Creek Substance Abuse Program's National Provider Identifier is 1427290261, issued on Mar 25, 2009. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Ellijay, GA. The record was last updated on Mar 25, 2009.