Organization
GOOD LIFE CARE , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA R PANNESE (EXECUTIVE DIRECTOR)
(919) 818-3978
Entity
Organization
Contact information
Practice address
5847 MCHINES PL STE D, RALEIGH, NC 27616-1829
(919) 818-3978
Mailing address
5847 MCHINES PL STE D, RALEIGH, NC 27616-1829
(919) 818-3978
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/25/2012
Last updated
08/19/2015
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