WILLOW CREEK SUBSTANCE ABUSE PROGRAM
Ambulatory Health at Kiker St, Ellijay, GA

License number
Georgia LPC003706
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: LARRY W HOOKS LPC
Title: DIRECTOR
Phone: (706) 636-2692
Address
Address
10 Kiker St, Ellijay, GA 30540
National Provider ID: 1427290261
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLOW CREEK SUBSTANCE ABUSE PROGRAM, INC

10 Kiker St, Ellijay, GA 30540

Registration:
May 14, 2008
State ID:
08038650
Business type:
Domestic Nonprofit Corporation
CEOs:
Deborah Thurman (CFO), PO Box 1409, Blue Ridge, GA 30513 (Physical),Edward Woehr (Secretary), 95 Scenic Way #13, Ellijay, GA 30540 (Physical),W Larry Hooks (CEO), 10 Kiker St, Ellijay, GA 30540 (Physical)
Agent:
Larry W Hooks,10 Kiker St, Ellijay, GA 30540 (Physical)

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