Organization
CENTER FOR WHOLLY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA L GODWIN LCSW (PRESIDENT)
(405) 301-5534
Entity
Organization
Contact information
Practice address
6051 N BROOKLINE AVE, SUITE 128, OKLAHOMA CITY, OK 73112-4289
(405) 301-5534
(866) 346-5666
Mailing address
6051 N BROOKLINE AVE, SUITE 128, OKLAHOMA CITY, OK 73112-4289
(405) 301-5534
(866) 346-5666
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3137
OK
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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