Organization · Type 2 NPI
Good Life Mental Halth Services LLC
Adult Mental Health Clinic/Center · Dayton, MN
NPI number
1104595586
Active
Practice location
13406 Pineview Ct
Dayton, MN 55327-4500
Mailing address
PO Box 722793
San Diego, CA 92172-2793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1104595586
Good Life Mental Halth Services LLC's National Provider Identifier is 1104595586, issued on Sep 9, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Dayton, MN. The record was last updated on Sep 9, 2021.