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Contact Information

WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC.
6944 HIGHWAY 85 STE F
RIVERDALE, GA30274-2960
 Phone: 770-683-6946
 Fax: 779-683-6949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Integrative Medicine

202D00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC.

NPI Number 1740936335
LBN Legal business name WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER, INC.
Authorized official DIANE BOULAI - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/23/2022
Last updated 02/12/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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