Center for Wholly Living, LLC

NPI #1205174240 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1205174240
Entity Type
Organization
Organization Name
Center for Wholly Living, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 25, 2013
Last Updated
Jan 25, 2013

Practice Location

Address
6051 N BROOKLINE AVE
Address 2
SUITE 128
ZIP Code
73112-4289
Phone
(405) 301-5534

Authorized Official

Name
MRS. BRENDA L GODWIN, LCSW
Title
PRESIDENT
Phone
(405) 301-5534

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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