Organization
NEWLIFE YOUTH AND FAMILY COUNSELING
Active
Parent organization
0000
Organization subpart
Yes
Provider details
NPI number
Legal business name
0000
Authorized official
RENITA EJIOFOR (REHAB PROVIDER)
(405) 886-8147
Entity
Organization
Contact information
Practice address
1609 GREENBRIAR PL, OKLAHOMA CITY, OKLAHOMA CITY, OK 73159-7640
(405) 735-3683
Mailing address
1609 GREENBRIAR PL, OKLAHOMA CITY, OKLAHOMA CITY, OK 73159-7640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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