Organization
WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Active
Other names
Willow Oak Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE BOULAI (CEO/ OWNER)
(678) 477-3476
Entity
Organization
Contact information
Practice address
55 JEFFERSON PKWY # 55B, NEWNAN, GA 30263-5813
(770) 683-6946
(770) 683-6949
Mailing address
361 CLIFFHAVEN CIR, NEWNAN, GA 30263-6358
(678) 477-3476
(770) 683-6949
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218948A
—
GA
Enumeration date
01/27/2017
Last updated
03/18/2026
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