Organization
GOODLIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOHN CORP M.D. (PRESIDENT, MEDICAL DIRECTOR)
(419) 866-7700
Entity
Organization
Contact information
Practice address
7429 INTERNATIONAL DR, HOLLAND, OH 43528-8623
(419) 866-7700
(419) 866-1695
Mailing address
7429 INTERNATIONAL DR, HOLLAND, OH 43528-8623
(419) 866-7700
(419) 866-1695
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813301
—
OH
Enumeration date
03/08/2007
Last updated
08/22/2020
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