Organization
GOOD PATH HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONYEBUCHI OGBO PMHNP-BC (CEO)
(339) 502-0871
Entity
Organization
Contact information
Practice address
117 BROADWAY, NORWOOD, MA 02062-3557
(339) 502-0871
(786) 590-1954
Mailing address
117 BROADWAY, NORWOOD, MA 02062-3557
(339) 502-0871
(786) 590-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
09/18/2023
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