Organization
WILLOW OAK COMMUNITY BEHAVIORAL HEALTH CENTER
Active
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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