| Goodlife Inc | |
|
7429 International Dr Holland OH 43528-8623 | |
| (419) 866-7700 | |
| (419) 866-1695 |
| Full Name | Goodlife Inc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 7429 International Dr, Holland, Ohio |
| Authorized Official Name and Position | Patrick John Corp (PRESIDENT, MEDICAL DIRECTOR) |
| Authorized Official Contact | 4198667700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodlife Inc 7429 International Dr Holland OH 43528-8623 Ph: (419) 866-7700 | Goodlife Inc 7429 International Dr Holland OH 43528-8623 Ph: (419) 866-7700 |
| NPI Number | 1447381835 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447381835 | NPI | - | NPPES |
| 0813301 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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