Organization
GOOD LIFE COMMUNITY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANAILYS RODRIGUEZ (PRESIDENT)
(786) 209-5501
Entity
Organization
Contact information
Practice address
7855 NW 12TH ST STE 221, DORAL, FL 33126-1819
(786) 209-5501
Mailing address
7855 NW 12TH ST STE 221, DORAL, FL 33126-1819
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
11/06/2025
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