Organization
WILLOW OAK FOUNDATION, INC.
Active
Organization
WILLOW OAK FOUNDATION, INC.
Active
Parent organization
WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Authorized official
DIANE BOULAI (OWNER/CEO)
(770) 683-6946
Entity
Organization
Contact information
Practice address
55 JEFFERSON PKWY # 55B, NEWNAN, GA 30263-5813
(770) 683-6946
(770) 683-6949
Mailing address
55 JEFFERSON PKWY # 55B, NEWNAN, GA 30263-5813
(770) 683-6946
(770) 683-6949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/27/2020
Last updated
03/18/2026
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